DR. MARYJAYNE MABREY JOHNSON (ARNP) – Family Nurse Practitioner, NPI 1225123888
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for DR. MARYJAYNE MABREY JOHNSON (ARNP)
1450 1ST AVE SW
QUINCY, WA 988481695
Phone: (509) 764-6105
Type: Location
847 W Childs Ave
Merced, CA 953416862
Phone: (209) 384-6481
Type: Location
820 N Chelan Ave
Wenatchee, WA 988012028
Phone: (509) 663-8711
Type: Location
101 W 8th Ave Fl 9
Spokane, WA 992042307
Phone: (509) 710-7855
Fax: (509) 474-3245
Type: Location
Wenatchee Valley Medical Center, 820, North Chelan Avenue, Wenatchee, Chelan County, Washington, 98801, United States
WENATCHEE, WA 988012028
Phone: (509) 663-8711
Type: Mailing
6190 N SUNSHINE ST STE E
COEUR D ALENE, ID 838158697
Phone: (208) 719-0311
Fax: (208) 719-0301
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $62.
Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Lundbeck LLC ($62).
Total Amount
$62
General + Research + Ownership
Payments
3
Total payment records
General Amount
$62
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $62 |
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: 2008-02-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080226000604 | I | Nurse Practitioner | WA | 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 98848)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Diagnostic Radiology | MT | |
| Family Practice | WA | |
| Obstetrics/Gynecology, Family Practice | WA | |
| Clinical Social Worker | WA | |
| Nurse Practitioner | WA | |
| Internal Medicine, Hospitalist | WA | |
| Nurse Practitioner | WA | |
| Diagnostic Radiology | WA | |
| Obstetrics/Gynecology, Family Practice | WA |
Reviews
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