JOHNNY EDWARD LINER (NP) – Primary Care Nurse Practitioner, NPI 1124685045
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for JOHNNY EDWARD LINER (NP)
505 E Foothills Dr
Spokane, WA 992072101
Phone: (509) 838-4651
Type: Location
23745 225TH WAY SE STE 201
MAPLE VALLEY, WA 980385294
Phone: (888) 674-5871
Type: Location
5603, Shoreline Circle North, Fort Worth, Tarrant County, Texas, 76119, United States
FORT WORTH, TX 761195420
Phone: (682) 226-8803
Type: Mailing
1401 N Calispel St
Spokane, WA 992012317
Phone: (509) 838-4651
Type: Location
522 W RIVERSIDE AVE STE 4115
SPOKANE, WA 992010580
Phone: (509) 495-1810
Fax: (509) 505-0806
Type: Mailing
16201 E INDIANA AVE STE 3260
SPOKANE VALLEY, WA 992162846
Phone: (509) 495-1810
Fax: (509) 505-0806
Type: Location
15407 E SPRINGFIELD AVE
SPOKANE VALLEY, WA 990379536
Phone: (509) 495-1810
Fax: (509) 505-0806
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: 2021-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190624003451 | I | Nurse Practitioner | WA | TBD |
| I20200924001621 | I | Nurse Practitioner | ID | TBD |
| I20211216000960 | I | Nurse Practitioner | TX | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Nurse Practitioner | MA | |
| - | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| P S Y C H I A T R Y | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| P S Y C H I A T R Y | ID |
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