Individual provider Active NPI

Robert Donald Johnston, PA-C

  • Physician Assistant
  • Eagle River, AK
National Provider Identifier
1306141155
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
17025 Snowmobile LN Ste a
Eagle River, AK 99577-7044
Phone
(907) 694-9553
Fax
(833) 464-5211
NPI assigned
Jan 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

17025 Snowmobile LN Ste a
Eagle River, AK 99577-7044

Mailing address

17025 Snowmobile LN
Eagle River, AK 99577-7044
Phone (907) 694-9553

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address robert.johnston.1@2839.direct.athenahealth.com
Direct Messaging Address robert.johnston.2@2839.direct.athenahealth.com
Direct Messaging Address robert.johnston.2@2839.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914003485 AK Practitioner - Physician Assistant 0446656565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Network of Alaska LLCGroup PAC ID 3072618859, 70 clinicians

Practice addresses (Care Compare)

17025 Snowmobile LN
Eagle River, AK 99577-7044
Phone (907) 694-9553

3122 E Meridian Park Loop
Wasilla, AK 99654-7255
Phone (907) 357-9590

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Network of Alaska, LLC CurrentSince Jan 1, 2025 Accepting new patients
Medical Network of Alaska, LLC CurrentSince Jan 1, 2025 Accepting new patients
Medical Network of Alaska, LLC Past Accepting new patients

Locations

17025 Snowmobile Ln
Eagle River, AK 99577
Phone (907) 694-9553

17025 Snowmobile Ln
Ste A
Eagle River, AK 99577
Phone (907) 694-9553

3331 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 357-2332

3122 E Meridian Park Loop
Wasilla, AK 99654
Phone (907) 864-4625

Interoperability endpoints

  • Direct secure messaging: robert.johnston.1@27294.direct.athenahealth.com
  • Direct secure messaging: robert.johnston.1@2839.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1306141155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17025 SNOWMOBILE LN",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777044",
            "telephone_number": "907-694-9553",
            "fax_number": "833-464-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17025 SNOWMOBILE LN STE A",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777044",
            "telephone_number": "907-694-9553",
            "fax_number": "833-464-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ROBERT",
        "middle_name": "DONALD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-25",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.johnston.1@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "5851 S Knik Goose Bay Rd",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996230012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.johnston.2@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "950 E Bogard Rd Ste 103",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.johnston.2@2839.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "950 E Bogard Rd Ste 103",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996547184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

Verify at the official NPI Registry.