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DR. NICOLE JANINE JOHNSON
NPI 1992961254
Pediatrics in Lakewood, WA

Active since August 05, 2008PECOS Enrolled
93.09/100
CMS Quality Rating
10510 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499(253) 589-7030(253) 589-7033 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicole Janine Johnson NPPES

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

DR. NICOLE JANINE JOHNSON (NPI 1992961254) is an individual pediatrics provider in Lakewood, Washington, licensed in Illinois (125-055020) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992961254
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. NICOLE JANINE JOHNSON
Location Address10510 GRAVELLY LAKE DR SWLakewood, WA 98499-5036
Mailing Address1019 Pacific Ave, Ste. 300Tacoma, WA 98402-4443 · (253) 597-4550
Phone(253) 589-7030
Fax(253) 589-7033
Sole ProprietorYes
Enumeration DateAugust 5, 2008
Last NPPES UpdateDecember 7, 2015
✔ NPI 1992961254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 125-055020
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10510 GRAVELLY LAKE DR SW, Lakewood, WA 98499
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Janine Johnson 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98499 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

MARISOL SALAZAR
Physician Assistant (Medical)
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 597-4550
COMMUNITY HEALTH CARE
Clinic/Center (Community Health)
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7030
JAIME GERALDO YEVERINO-FLORES MD
Internal Medicine
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7030
NORMA CASILLAS
Community Health Worker
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7030
JESSICA DAWN GILDNER RDH
Dental Hygienist
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7188
CONSTANCE BLAIR CAMPBELL MD
Family Medicine
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7030
MR. PAUL FAILLACE RN
Registered Nurse
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7030
DR. LILY SIOELI KWEE DMD
Dentist (General Practice)
10510 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499
Pierce County (253) 589-7188

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1992961254. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Nicole Johnson located?

Nicole Johnson practices at 10510 Gravelly Lake Dr SW, Lakewood, WA 98499. The listed phone number is (253) 589-7030.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicole Johnson enrolled in Medicare?

Yes. Nicole Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Johnson accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicole 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 Nicole Johnson was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.