JOHNNIE MACHADO (PA-C) – Physician Assistant, NPI 1699051524

JOHNNIE MACHADO (PA-C) is a healthcare provider. based in Salt lake city, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60221840 (WA). The NPI Number for JOHNNIE MACHADO (PA-C) is 1699051524

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
JOHNNIE MACHADO (PA-C)
NPI
1699051524
Phone
(206) 320-4476
Address
PO BOX 25608
Enumeration Date
24 October 2011
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4256564200
Graduation Year
2010 (16 years ago)
PAC ID
1052585171
Group Practice PAC ID
5597036897
Professional Enrollment ID
I20111129000291
Address ID
WA980061214BE12402STXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for JOHNNIE MACHADO (PA-C)

  • PO BOX 25608

    SALT LAKE CITY, UT 841250608

    Phone: (206) 320-4476

    Fax: (206) 568-7043

    Type: Mailing

  • 550 17TH AVE FL 5

    SEATTLE, WA 981225788

    Phone: (206) 320-2800

    Fax: (206) 320-2827

    Type: Location

  • 1107 SW Grady Way

    Suite 100

    Renton, WA 980575217

    Phone: (205) 805-8885

    Fax: (206) 522-5151

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111129000291IPhysician AssistantWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 84125)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597036897View full group profile
NameSpecialtyState
Physician AssistantWA
O T O L A R Y N G O L O G YWA
Physician AssistantOR
-OR
O T O L A R Y N G O L O G YOR
Physician AssistantOR

Reviews

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Frequently asked questions

What federal number belongs to JOHNNIE MACHADO (PA-C)?
The federal identifier for JOHNNIE MACHADO (PA-C) is NPI 1699051524.
Is JOHNNIE MACHADO (PA-C) active in the national directory?
JOHNNIE MACHADO (PA-C)'s public NPI profile is in an active state.
Does JOHNNIE MACHADO (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for JOHNNIE MACHADO (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place JOHNNIE MACHADO (PA-C)?
The snapshot lists Salt Lake City, Utah for JOHNNIE MACHADO (PA-C); download NPPES for the complete set.
What if Salt Lake City, Utah seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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