Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Maryjayne Mabrey Johnson, ARNP

Individual provider Family Nurse Practitioner · NPI 1225123888

Dr. Maryjayne Mabrey Johnson, ARNP is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 1996, 30 years ago. Practices with Moses Lake Community Health Center, a 78-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Idaho, Utah and Washington.

Years since qualifying
30
Licensed in
CA, ID, UT, WA
In the registry since
2006
Specialties on file
4
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

6190 N Sunshine St Ste E
Coeur D Alene, ID 83815-8697
Phone: (208) 719-0311
Fax: (208) 719-0301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 820 N Chelan Ave, Wenatchee, WA 98801-2028 — (509) 663-8711

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1871154 (ID)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 197104-4405 (UT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95026427 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APT0007476 (WA)

Record details

NPI number1225123888
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Moses Lake Community Health Center — 78 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Coeur D Alene