ELLEN D JOHNSON (MD) – Diagnostic Radiology Physician, NPI 1952320350

ELLEN D JOHNSON (MD) is a healthcare provider. based in Bothell, Washington. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 11090 (NH). The NPI Number for ELLEN D JOHNSON (MD) is 1952320350

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
ELLEN D JOHNSON (MD)
NPI
1952320350
Phone
(208) 416-2932
Address
22100 BOTHELL EVERETT HWY
Enumeration Date
18 July 2006
Last Update Date
5 December 2023

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
3374702180
Graduation Year
1996 (30 years ago)
PAC ID
2062481898
Group Practice PAC ID
1355403114
Professional Enrollment ID
I20111007000447
Address ID
MA021912268WE51XXXREAC301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

1,952 DIAGNOSTIC RADIOLOGY in MA

Provider Addresses for ELLEN D JOHNSON (MD)

  • 22100 BOTHELL EVERETT HWY

    BOTHELL, WA 980218431

    Phone: (208) 416-2932

    Type: Mailing

  • 23 INGALLS VILLAGE WAY

    BOXFORD, MA 019212248

    Phone: (208) 416-2932

    Type: Location

  • Lewiston Post Office, 49, Ash Street, Lewiston, Androscoggin County, Maine, 04240, United States

    LEWISTON, ME 042411849

    Phone: (207) 784-2554

    Fax: (207) 777-5363

    Type: Mailing

  • 5, Alumni Drive, Exeter, Rockingham County, New Hampshire, 03833, United States

    EXETER, NH 038332128

    Phone: (603) 580-6608

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $54.

Total Amount is formed as General ($54) + Research ($0) + Ownership ($0) = $54.

Last reported payment date: 2024-08-03 • Largest payer in this snapshot: Stryker Corporation ($54).

Total Amount

$54

General + Research + Ownership

Payments

2

Total payment records

General Amount

$54

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$54
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: 2024-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20111007000447IDiagnostic RadiologyMATBD
I20240415002940IDiagnostic RadiologyTXTBD

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
71045X-ray of chest, 1 view120117$0
70450Ct scan head or brain without contrast8382$0
74177Ct scan of abdomen and pelvis with contrast6161$0
71260Ct scan of chest with contrast4444$0
71250Ct scan of chest without contrast3939$0
View full utilization report →

Insurance plans in this area (ZIP 98021)

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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: 1355403114View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyLA
Diagnostic RadiologyMS
Diagnostic RadiologyLA
Diagnostic RadiologyLA
Diagnostic RadiologyLA
Diagnostic RadiologyFL
Diagnostic RadiologyLA
Diagnostic RadiologyCO
Diagnostic RadiologyLA

Reviews

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Frequently asked questions

What unique ID ties claims to ELLEN D JOHNSON (MD)?
NPI 1952320350 is assigned to ELLEN D JOHNSON (MD) under the national enumeration system.
Is ELLEN D JOHNSON (MD) currently active in the NPI registry?
CMS-published data lists ELLEN D JOHNSON (MD) as an active registrant.
Can you summarize ELLEN D JOHNSON (MD)'s specialty in plain language?
Clinically, the directory lists ELLEN D JOHNSON (MD) with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location shows for ELLEN D JOHNSON (MD)?
We surface Bothell, Washington for ELLEN D JOHNSON (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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