JASON RUSSELL JOHNSON (ARNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1568739100

JASON RUSSELL JOHNSON (ARNP) is a healthcare provider. based in Lakewood, Washington. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold the professional credentials ARNP. They hold a License No. AP60642223 (WA). The NPI Number for JASON RUSSELL JOHNSON (ARNP) is 1568739100

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JASON RUSSELL JOHNSON (ARNP)
NPI
1568739100
Phone
(253) 620-5015
Address
9330 59TH AVE SW
Enumeration Date
28 November 2011
Last Update Date
4 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8449498888
Graduation Year
2015 (11 years ago)
PAC ID
0345539920
Group Practice PAC ID
0648512459
Professional Enrollment ID
I20160520001710
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for JASON RUSSELL JOHNSON (ARNP)

  • 9330 59TH AVE SW

    LAKEWOOD, WA 984992858

    Phone: (253) 620-5015

    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: 2016-05-20

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
I20160520001710INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes26984$0
99213Established patient office or other outpatient visit, 20-29 minutes6242$0
99215Established patient office or other outpatient visit, 40-54 minutes4832$0
View full utilization report →

Insurance plans in this area (ZIP 98499)

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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: 0648512459View full group profile
NameSpecialtyState
Nurse PractitionerWA
-WA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
-WA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the registry number for JASON RUSSELL JOHNSON (ARNP)?
The registry entry for JASON RUSSELL JOHNSON (ARNP) shows NPI 1568739100.
Quick check: is JASON RUSSELL JOHNSON (ARNP) active?
Public NPPES data shows JASON RUSSELL JOHNSON (ARNP) with an active NPI status right now.
What does the directory say JASON RUSSELL JOHNSON (ARNP) does?
Insurance directories may phrase it differently, but here JASON RUSSELL JOHNSON (ARNP) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JASON RUSSELL JOHNSON (ARNP)?
JASON RUSSELL JOHNSON (ARNP) is associated with Lakewood, Washington in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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