Michael Johnson, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA61018488 Issued in WA

Practice address

840 E Hill Ave
Moses Lake, WA 98837-2238

Phone

(509) 663-8711

NPI assigned

Mar 18, 2019

Sex

Male

Sole proprietor

No

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.

• Waterfall Clinic Incorporated

  • Federally Qualified Health Center (FQHC)
  • North Bend, OR
  • NPI 1619915113

  OR

  Medicare reassignment Care Compare group NPD
• Wenatchee Valley Hospital

  • Multi-Specialty Clinic/Center
  • Wenatchee, WA
  • NPI 1669719688

  WA

  Medicare reassignment NPD
• Tanana Chiefs Conference

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1821201278

  TX

  Medicare reassignment NPD
• Waterfall Clinic, Incorporated

  • Psychiatric/Mental Health Nurse Practitioner
  • Coos Bay, OR
  • NPI 1619673704
  Care Compare group NPD
• Dispatchhealth Washington PC

  • Emergency Medicine Physician
  • Tacoma, WA
  • NPI 1013490507

  WA

  Medicare reassignment
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Aleknagik North, AK
  • NPI 1235291246

  TX

  Medicare reassignment
• Waterfall Clinic Incorporated

  • General Practice Dentistry
  • North Bend, OR
  • NPI 1700522489
  Care Compare group
• Waterfall Clinic, Incorporated

  • Federally Qualified Health Center (FQHC)
  • North Bend, OR
  • NPI 1447889480
  Care Compare group
• Waterfall Clinic, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Coos Bay, OR
  • NPI 1508133299
  Care Compare group
• Wenatchee Valley Hospital

  • Clinical Medical Laboratory
  • Wenatchee, WA
  • NPI 1689916819
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Koliganek, AK
  • NPI 1013079607
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Ekwok, AK
  • NPI 1104988799
  NPD

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

• Bay Area Home Health Operations LLC

  • Home Health Agency
  • Coos Bay, OR
  • NPI 1134801806
  Care Compare affiliation
• Bay Area Hospital District

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Group practices

Waterfall Clinic Incorporated 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oregon Coast Home Health Home health agency, Coos Bay, OR, CCN 387039
• Bay Area Hospital Hospital, Coos Bay, OR, CCN 380090

Medicare fee-for-service enrollment

Enrolled in WA, TX, OR3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjohnson766783@direct.ochin.org
• Direct secure messaging: michael.johnson.p1@direct.toiyabe.nextgenshare.com

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1669931705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E HILL AVE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372238",
            "telephone_number": "509-663-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61018488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdusebur M Jemal, MD
• Alexander Alide Johnson, DO
• Andrew Paullin Johnson, D.M.D.
• Deborah Johnson
• Marilee Sue Johnson, MS
• Brent C Jones
• Gregg Moyle Jones, DC
• Elizabeth Anne Jorgensen, EDD, PHD, LCPC
• Sloan Kenneth Jorgensen, DDS
• Kristi L. Juette, LICSW

• All providers in Moses Lake, WA
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.