Individual provider

Kristofer Johnson, PA

Medical Physician Assistant Physician Assistant Medicare enrolled

Kristofer Johnson, PA is a Medical Physician Assistant in Spokane Valley, WA, registered under NPI 1548411770. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 12606 E MISSION AVE, Spokane Valley, WA 99216. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

12606 E MISSION AVE, Spokane Valley, WA 99216 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
PA60049525 WA Medical Physician Assistant primary

This provider holds licence PA60049525 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
4385702869
Enrollment ID
I20081028000399

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Medical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Medical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AM0700X Medical Physician Assistant Medical PA60049525 WA primary
363A00000X Physician Assistant

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1548411770 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 7, 2008
Last updatedMar 10, 2023
StatusActive
Sole proprietorYes
CredentialPA
Practice address 12606 E MISSION AVE
Spokane Valley, WA 99216
(509) 924-6650
Mailing address PO BOX 758701
Baltimore, MD 21275
Other identifiers PA60049525 · Other (WA)
The last update on file is Mar 10, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1548411770 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 5 4 8 4 1 1 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 5 8 8 8 1 2 7 5

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1548411770?
NPI 1548411770 is the National Provider Identifier assigned to Kristofer Johnson, PA in Spokane Valley, WA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Medical cover?
Definition to come...
How do I contact Kristofer Johnson, PA?
The phone number on file with NPPES is (509) 924-6650, last updated Mar 10, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kristofer Johnson, PA accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1548411770 a valid number?
Yes. 1548411770 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.