DR. CRIS EDWARD JOHNSON (MD) – Family Medicine Physician, NPI 1144390261

DR. CRIS EDWARD JOHNSON (MD) is a healthcare provider. based in Lacey, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00035172 (WA). The NPI Number for DR. CRIS EDWARD JOHNSON (MD) is 1144390261

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. CRIS EDWARD JOHNSON (MD)
NPI
1144390261
Phone
(360) 413-8600
Address
5130 CORPORATE CENTER CT SE
Enumeration Date
8 November 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
3604597282
Graduation Year
1995 (31 years ago)
PAC ID
4183771769
Group Practice PAC ID
3678639879
Professional Enrollment ID
I20100803000919
Address ID
WA985028701OL3920XSWXX504
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

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Provider Addresses for DR. CRIS EDWARD JOHNSON (MD)

  • 5130, Corporate Center Court Southeast, Lacey, Thurston County, Washington, 98503, United States

    LACEY, WA 985035957

    Phone: (360) 413-8600

    Fax: (360) 413-8822

    Mailing address matches the actual address.

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: 2010-08-03

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
I20100803000919IFamily PracticeWATBD

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 minutes458259$0
99214Established patient office or other outpatient visit, 30-39 minutes177111$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit159159$0
81002Urinalysis, manual test5740$0
G0008Administration of influenza virus vaccine3838$0
View full utilization report →

Insurance plans in this area (ZIP 98503)

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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: 3678639879View full group profile
NameSpecialtyState
-IN
Family PracticeIL
General PracticeWA
-WA
Nurse PractitionerWA
Nurse PractitionerMD
Family PracticeOH
Family Practice, Geriatric MedicineOR
-WA
Nurse PractitionerTN

Reviews

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Frequently asked questions

Does DR. CRIS EDWARD JOHNSON (MD) have a public NPI I can cite?
Public records show DR. CRIS EDWARD JOHNSON (MD) under NPI 1144390261.
Does the public listing show DR. CRIS EDWARD JOHNSON (MD) as active?
DR. CRIS EDWARD JOHNSON (MD)'s NPI record reflects an active status in NPPES.
What services align with DR. CRIS EDWARD JOHNSON (MD)'s listing?
DR. CRIS EDWARD JOHNSON (MD)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CRIS EDWARD JOHNSON (MD)?
The directory associates DR. CRIS EDWARD JOHNSON (MD) with Lacey, Washington. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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