JOHANNA MENARD – Family Nurse Practitioner, NPI 1235515214

JOHANNA MENARD is a healthcare provider. based in Arlington, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. AP60570829 (WA). The NPI Number for JOHANNA MENARD is 1235515214

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JOHANNA MENARD
NPI
1235515214
Phone
(206) 818-5208
Address
4643 20TH RD N APT 4
Enumeration Date
1 August 2015
Last Update Date
30 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603180260
Graduation Year
2014 (12 years ago)
PAC ID
3476863465
Group Practice PAC ID
9537073960
Professional Enrollment ID
I20151103001916
Address ID
WA982649787LY8844XRDXX300

Contacts

Secure Messaging
jmenard963532@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

8,303 NURSE PRACTITIONER in VA

Provider Addresses for JOHANNA MENARD

  • 4643 20TH RD N APT 4

    ARLINGTON, VA 222072466

    Phone: (206) 818-5208

    Type: Location

  • 1200 SE 12th St

    College Place, WA 993241827

    Phone: (509) 529-1481

    Fax: (509) 529-3966

    Type: Location

  • 8844 Benson Rd

    Lynden, WA 982649787

    Phone: (360) 318-0260

    Fax: (360) 318-0261

    Type: Location

  • 602 E NOB HILL BLVD

    YAKIMA, WA 98901

    Phone: (509) 248-3334

    Type: Mailing

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: 2015-11-03

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
I20151103001916INurse PractitionerWATBD

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
99203New patient office or other outpatient visit, 30-44 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
99204New patient office or other outpatient visit, 45-59 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 22207)

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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: 9537073960View full group profile
NameSpecialtyState
Family PracticeWA
P O D I A T R YWA
Gynecological OncologyWA
-FL
Geriatric Medicine, Family PracticeWA
Nurse PractitionerWA
Internal Medicine, Cardiovascular Disease (Cardiology), Nuclear MedicineMA
-TX
Physician AssistantOR
Nurse PractitionerNY

Reviews

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Frequently asked questions

What federal number belongs to JOHANNA MENARD?
The federal identifier for JOHANNA MENARD is NPI 1235515214.
Is JOHANNA MENARD currently active in the NPI registry?
CMS-published data lists JOHANNA MENARD as an active registrant.
Does JOHANNA MENARD list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for JOHANNA MENARD. Clinical services aligned with this taxonomy classification.
Where is JOHANNA MENARD's primary listing?
We display Arlington, Virginia because that is what the record indicates for JOHANNA MENARD.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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