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

Kristofer K Johnson, PA

Individual provider Physician Assistant · NPI 1548411770

Kristofer K Johnson, PA is a Physician Assistant in Spokane Valley, Washington. Qualified in 2008, 18 years ago. Practices with Community Health Association of Spokane, a 223-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
18
Licensed in
WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

12606 E Mission Ave
Spokane Valley, WA 99216-3421
Phone: (509) 924-6650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1001 W 2nd Ave, Spokane, WA 99201-4503 — (509) 444-8200

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60049525 (WA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1548411770
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 7, 2008
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Community Health Association Of Spokane — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spokane Valley