Courtney Lois Johnson, PA-C

NPI 1114412459ActiveIndividual· Physician Assistant· Renton, WA

Physician Assistant (PA-C) in Renton, Washington, trained at University of Missouri, Kansas City, School of Medicine (class of 2018). Their prescriptions cost Medicare Part D more than their services did: $1,869,813 for 7,813 claims, against $24,905 paid for services in 2024. Boston Scientific Corporation reported $42.56 in payments in 2025, mostly food and beverage.

Overview

NPI	1114412459
Status	Active
Entity type	Individual
Credential	PA-C
Sole proprietor	No
NPI issued	Jun 28, 2018
Last updated in NPPES	Jul 25, 2023
Certified by provider	Jul 25, 2023

Specialties and licenses

Taxonomy	Code	License	State
Physician Assistant Primary	363A00000X	PA60879450	WA

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Physician Assistant (WA)
Accepts assignment	Yes (participating)

Medicare services in 2024

Medicare patients	311
Services billed	717 across 20 procedure codes
Paid by Medicare	$24,905

Part D prescriptions in 2024

Prescriptions (claims)	7,813 · 20,870 30-day fills
Patients	1,884
Total drug cost	$1,869,813
Generic share	82% of claims

Medicare sources and data years

Education and affiliations

Medical school	University of Missouri, Kansas City, School of Medicine
Graduation year	2018
Medicare specialty	Physician Assistant
Telehealth	Offers telehealth