PATHWAY GERIATRICS PLLC – Primary Care Clinic/Center, NPI 1154924207

PATHWAY GERIATRICS PLLC is a healthcare provider. based in Redmond, Washington. specializing in Primary Care Clinic/Center. The NPI Number for PATHWAY GERIATRICS PLLC is 1154924207

Main info

Organization
Name
PATHWAY GERIATRICS PLLC
NPI
1154924207
Phone
Not provided
Address
8201 164TH AVE NE STE 200
Authorized Official
STEPHANIE R JOHNSON OWNER AGPCNP-BC
Enumeration Date
20 November 2020
Last Update Date
25 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for PATHWAY GERIATRICS PLLC

  • 8201 164TH AVE NE STE 200

    REDMOND, WA 980527615

    Phone:

    Type: Mailing

  • 8201 164TH AVE NE STE 325

    REDMOND, WA 980527615

    Phone: (425) 818-5311

    Fax: (425) 434-1755

    Type: Mailing

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: 2020-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation scheduled

Earliest CMS due date is 2026-09-30 (112 days away).

Enrollment records

1

Earliest due date

2026-09-30

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
O20201203001165OClinic/Group PracticeWA2026-09-30

What to do next

  • Monitor the published due date as it approaches.
  • Plan to revalidate in PECOS within the window CMS allows before the due date.
  • Verify the date on the CMS Revalidation Lookup Tool before submitting.

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 98052)

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Reviews

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Frequently asked questions

What identifier follows PATHWAY GERIATRICS PLLC across health systems?
The NPI 1154924207 uniquely identifies PATHWAY GERIATRICS PLLC in U.S. healthcare data.
Should I treat PATHWAY GERIATRICS PLLC as an active provider?
Patients and plans typically see PATHWAY GERIATRICS PLLC as active in the national extract.
Which specialty label fits PATHWAY GERIATRICS PLLC?
NPPES ties PATHWAY GERIATRICS PLLC to Primary Care Clinic/Center in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to PATHWAY GERIATRICS PLLC?
PATHWAY GERIATRICS PLLC shows a connection to Redmond, Washington in registry-derived data.
Why is information missing for PATHWAY GERIATRICS PLLC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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