Sarah Jenai Johansen, ARNP
Individual provider Active NPI Nurse Practitioner · Buckley, WA
NPI 1639911274 · NPPES record last updated Apr 22, 2026
Key facts
- NPI
- 1639911274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP70093357 (WA)
- Practice address
- PO Box 2352
Buckley, WA 98321-2352 - Phone
- (253) 651-3232
- NPI assigned
- Jun 12, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Seva Medical PLLC
Practice addresses (Care Compare)
11120 NE 33Rd PL
Suite 202
Bellevue, WA 98004-1444
Phone (888) 637-9669
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260401003663 | WA | Practitioner - Nurse Practitioner | 7012492572 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60643718 | WA | MD | Hospice Registered Nurse |
| AP70093357 | WA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP70093357 | WA | Yes |
| Hospice Registered Nurse | 163WH1000X | RN60643718 | WA |
Addresses
Primary practice location
PO Box 2352
Buckley, WA 98321-2352
Mailing address
PO Box 2352
Buckley, WA 98321-2352
Phone (253) 651-3232
NPI Registry JSON
{
"created_epoch": "1718150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1639911274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2352",
"city": "BUCKLEY",
"state": "WA",
"postal_code": "983212352",
"telephone_number": "253-651-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 2352",
"city": "BUCKLEY",
"state": "WA",
"postal_code": "983212352",
"telephone_number": "253-651-3232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANSEN",
"first_name": "SARAH",
"middle_name": "JENAI",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-12",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP70093357",
"primary": true
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "WA",
"license": "RN60643718",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckley, WA
- Laura Holder
- Hope Family Medicine, PLLC
- Kelsy Jacobs
- Ashley Lynn Jameson
- Javaid Chaudhry, D.D.S., P.S
- Joseph S Lee DMD PS
- Deeanna Keith
- Hye Jin Kim
- Cherryzel A Knecht
- Jamie Laeuger
All providers in Buckley, WA · Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.