MRS. MARISA PROTASEL JOHNSON (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1699011767
Psychiatric/Mental Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for MRS. MARISA PROTASEL JOHNSON (PMHNP-BC)
17618 128TH AVE SE
RENTON, WA 980586709
Phone: (425) 306-8380
Type: Mailing
1776 SW MADISON ST
PORTLAND, OR 972051715
Phone: (503) 224-1044
Fax: (503) 621-2235
Type: Mailing
12360 E BURNSIDE ST
PORTLAND, OR 972331042
Phone: (971) 279-4800
Fax: (971) 279-2051
Type: Location
703 NE Hancock St
Portland, OR 972123955
Phone: (503) 230-9875
Fax: (503) 331-3441
Type: Location
1798 PEARL AVE
COOKEVILLE, TN 38506
Phone: (615) 987-3060
Type: Mailing
1315 LEHMEN DR
CHESTER, IL 62233
Phone: (618) 826-4571
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $102.
Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.
Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($102).
Total Amount
$102
General + Research + Ownership
Payments
1
Total payment records
General Amount
$102
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $102 |
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: 2024-05-07
PECOS data refreshed: 2026-05-27
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 98058)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | OR | |
| Nurse Practitioner | OR | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | OR | |
| Clinical Social Worker | OR | |
| Nurse Practitioner | OR | |
| Clinical Social Worker | OR | |
| Mental Health Counselor | OR | |
| Nurse Practitioner | OR | |
| Family Practice | OR |
Reviews
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