BRETT JOHANSEN PA-C
NPI 1982074696
Physician Assistant - Medical in Fruitland, ID

Active since October 07, 2015PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
1210 NW 16TH ST, FRUITLAND, ID 83619(208) 452-9881 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brett Johansen Pa-c NPPES

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

BRETT JOHANSEN PA-C (NPI 1982074696) is an individual medical provider in Fruitland, Idaho, licensed in Idaho (PA-1308) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1982074696
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameBRETT JOHANSENCredential: PA-C
Location Address1210 NW 16TH STFruitland, ID 83619-2202
Mailing Address1210 Nw 16th StFruitland, ID 83619-2202 · (208) 452-9881
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 7, 2015
NPI 1982074696 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 ID · PA-1308
1210 NW 16TH ST, Fruitland, ID 83619

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brett Johansen Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799095477
PECOS Enrollment IDI20151109002009
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
286 services253 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
70 services70 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services48 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

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.

Physician Assistant (Medical)
1210 NW 16TH ST
FRUITLAND, ID 83619
Physician Assistant
1210 NW 16TH ST
FRUITLAND, ID 83619
Surgery
1210 NW 16TH ST
FRUITLAND, ID 83619
Physician Assistant
1210 NW 16TH ST
FRUITLAND, ID 83619
Internal Medicine
1210 NW 16TH ST
FRUITLAND, ID 83619
Social Worker (Clinical)
1210 NW 16TH ST
FRUITLAND, ID 83619
Physician Assistant
1210 NW 16TH ST
FRUITLAND, ID 83619
Physician Assistant (Medical)
1210 NW 16TH ST
FRUITLAND, ID 83619

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 Brett Johansen's NPI number?

The NPI number for Brett Johansen is 1982074696. It was assigned to this individual provider in the NPPES registry on October 7, 2015.

Where is Brett Johansen located?

Brett Johansen practices at 1210 NW 16th St, Fruitland, ID 83619. The listed phone number is (208) 452-9881.

What is Brett Johansen's specialty?

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

Is Brett Johansen enrolled in Medicare?

Yes. Brett Johansen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brett Johansen accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Brett Johansen 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.

Is Brett Johansen affiliated with any hospitals?

According to CMS data, Brett Johansen is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Brett Johansen was last updated on October 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.