TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C) – Family Nurse Practitioner, NPI 1386258697

TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C) is a healthcare provider. based in Centralia, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP, FNP-C. They hold a License No. AP61095075 (WA). The NPI Number for TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C) is 1386258697

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C)
NPI
1386258697
Phone
(360) 330-9044
Address
2428 W REYNOLDS AVE
Enumeration Date
3 September 2020
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603309044
Graduation Year
2020 (6 years ago)
PAC ID
3173934569
Group Practice PAC ID
5496641177
Professional Enrollment ID
I20201116000207
Address ID
WA985314554CE2428XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

Provider Addresses for TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C)

  • 2428 W REYNOLDS AVE

    CENTRALIA, WA 985314554

    Phone: (360) 330-9044

    Type: Location

  • 3510 Steelhammer Dr

    Centralia, WA 985311532

    Phone: (360) 623-8020

    Type: Location

  • 2690 NE KRESKY AVE

    CHEHALIS, WA 985322412

    Phone: (360) 330-9595

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $161.

Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.

Last reported payment date: 2024-02-26 • Largest payer in this snapshot: Lilly USA, LLC ($68).

Total Amount

$161

General + Research + Ownership

Payments

5

Total payment records

General Amount

$161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-11-16

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
I20201116000207INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98531)

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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: 5496641177View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerID
Nurse PractitionerWA
Mental Health CounselorWA
Marriage And Family TherapistWA
Nurse PractitionerWA
-WA
Nurse PractitionerFL
-WA
Nurse PractitionerWA

Reviews

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Frequently asked questions

Where can patients find TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C)'s NPI?
You can confirm TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C) with NPI 1386258697; it appears in the national provider directory.
Does this profile mean TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C) is currently active?
Yes — TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C) appears active in the national provider directory.
Does TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C)?
The page summarizes Centralia, Washington for TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C); expand the address list for detail.
Is TERESA JO EKDAHL-JOHNSON (ARNP, FNP-C) a real provider?
This page reflects official NPPES data for NPI 1386258697. Always confirm identity and privileges with the practice and licensing boards.

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