Jeffrey Kim Johnson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

2935 Allen Rd
Sunnyside, WA 98944-8931

Phone

(509) 837-0070

Fax

(509) 837-0690

NPI assigned

Aug 10, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derek S Weaver DO PLLCGroup PAC ID 8123322716, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prosser Memorial Hospital Hospital, Prosser, WA, CCN 501312
• Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffrey.johnson.1@11508.direct.athenahealth.com

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.

• Derek S Weaver DO PLLC

  • Family Medicine Physician
  • Sunnyside, WA
  • NPI 1982081485
  Medicare reassignment Care Compare group
• Yakima Valley Farm Workers Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yakima, WA
  • NPI 1295788602
  Medicare reassignment
• Yakima Valley Farm Workers Clinic

  • Federally Qualified Health Center (FQHC)
  • Yakima, WA
  • NPI 1033677307
  NPD
• Yakima Valley Farm Workers Clinic

  • Federally Qualified Health Center (FQHC)
  • Clatskanie, OR
  • NPI 1578000345
  NPD

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

• Prosser Public Hospital District of Benton County

  • Critical Access Hospital
  • Prosser, WA
  • NPI 1306897681
  Care Compare affiliation
• Sunnyside Community Hospital Association

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Care Compare affiliation

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

{
    "created_epoch": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1346659711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 ALLEN RD",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989448931",
            "telephone_number": "509-837-0070",
            "fax_number": "509-837-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2935 ALLEN RD",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989448931",
            "telephone_number": "509-837-0070",
            "fax_number": "509-837-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JEFFREY",
        "middle_name": "KIM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-10",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Jensen, ARNP
• Beatriz Jimenez, RN
• Manuel Jimenez I, PHYSICIAN ASSISTANT
• Brianne M Johnson, PA-C
• Jaci Johnson, LMT
• David Walter Frederick Jones, MD
• Justin Heiden Dental LLC
• Vamsi Krishna Kanneganti, MD
• Mitul Kanzaria, MD
• David Kapplan, CRNA

• Medical Physician Assistant in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.