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AMANDA JOHNSON
NPI 1730801127
Nurse Practitioner - Family in Lakeview, OR

Active since September 13, 2022Opted out of Medicare · through Feb 25, 2027
1810 N 4TH ST, LAKEVIEW, OR 97630(541) 600-2535(541) 325-4804 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 5, 2025, Jul 13, 2023, Sep 13, 2022 (3 updates tracked since 2022).

About Amanda Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA JOHNSON (NPI 1730801127) is an individual family provider in Lakeview, Oregon, licensed in Oregon (202211248NP-PP) and active in the NPI registry since September 2022. She has opted out of Medicare through February 25, 2027.

NPPES Registry Identity

NPI1730801127
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA JOHNSON
Location Address1810 N 4TH STLakeview, OR 97630-1003
Mailing AddressPo Box 1168Lakeview, OR 97630-0046 · (541) 600-2535 · Fax (541) 325-4804
Phone(541) 600-2535
Fax(541) 325-4804
Sole ProprietorYes
Enumeration DateSeptember 13, 2022
Last NPPES UpdateSeptember 5, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2025
✔ NPI 1730801127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 202211248NP-PP
1810 N 4TH ST, Lakeview, OR 97630
Open in Google Maps ↗

Other Identifiers 1

Other202211248NP-PPOR · Nurse Practitioner

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Amanda Johnson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 25, 2025 through February 25, 2027.

Opt-Out Effective DateFebruary 25, 2025
Opt-Out In Effect ThroughFebruary 25, 2027Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Johnson's NPI number?

The NPI number for Amanda Johnson is 1730801127. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Amanda Johnson located?

Amanda Johnson practices at 1810 N 4th St, Lakeview, OR 97630. The listed phone number is (541) 600-2535.

What is Amanda Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Johnson enrolled in Medicare?

No. Amanda Johnson has opted out of Medicare through February 25, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Amanda Johnson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Amanda Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Johnson was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.