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MR. NICHOLAS DARWIN JOHANTGEN PA-C
NPI 1851731152
Physician Assistant - Medical in Portland, OR

Active since July 01, 2013PECOS Enrolled
9155 SW BARNES RD, SUITE 934, PORTLAND, OR 97225(503) 229-7015 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nicholas Darwin Johantgen Pa-c NPPES

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

MR. NICHOLAS DARWIN JOHANTGEN PA-C (NPI 1851731152) is an individual medical provider in Portland, Oregon, licensed in Oregon (PA161672) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851731152
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. NICHOLAS DARWIN JOHANTGENCredential: PA-C
Location Address9155 SW BARNES RD, SUITE 934Portland, OR 97225-6625
Mailing Address1438 Sw College StPortland, OR 97201-2500 · (503) 887-5138
Phone(503) 229-7015
Sole ProprietorYes
Enumeration DateJuly 1, 2013
✔ NPI 1851731152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OR · PA161672
9155 SW BARNES RD, Portland, OR 97225
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nicholas Darwin Johantgen Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SARAH R ZWEBER M.D.
Internal Medicine
9155 SW BARNES RD, STE 205
PORTLAND, OR 97225
Washington County (503) 297-5581
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD, STE 333
PORTLAND, OR 97225
Washington County (503) 216-5102
DR. DALE MICHAEL WILLIS M.D.
Pediatrics (Pediatric Endocrinology)
9155 SW BARNES RD, SUITE 931
PORTLAND, OR 97225
Washington County (503) 216-6050
THOMAS LORISH MD
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Washington County (503) 216-7145
HEARING HEALTHCARE PROFESSIONALS OF OREGON, LLC
Audiologist-Hearing Aid Fitter
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Washington County (503) 297-1600
FARZAD KAHNAMELLI PHARM.D.
Pharmacist
9155 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-6043
DR. CINDY M. REUTER ND, LAC, RD
Naturopath
9155 SW BARNES RD, SUITE 331
PORTLAND, OR 97225
Washington County (503) 216-0246
ASHLEIGH B CONNELL MA, CCC-SLP
Speech-Language Pathologist
9155 SW BARNES RD, CHILDREN'S DEVELOPMENT INSTITUTE, EAST PAVILION
PORTLAND, OR 97225
Washington County (503) 216-8272

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 Nicholas Johantgen's NPI number?

The NPI number for Nicholas Johantgen is 1851731152. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Nicholas Johantgen located?

Nicholas Johantgen practices at 9155 SW Barnes Rd Suite 934, Portland, OR 97225. The listed phone number is (503) 229-7015.

What is Nicholas Johantgen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicholas Johantgen enrolled in Medicare?

Yes. Nicholas Johantgen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Johantgen was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.