Robert Johansen, PA-C
NPI 1639452618ActiveIndividual· Physician Assistant· Omak, WA
Physician Assistant (PA-C) with Yakima Valley Memorial Physicians and 1 other group, practicing in Omak, Washington. Mostly services rather than prescriptions: Medicare paid $12,304 for 234 patients in 2024, with only 15 Part D claims. Lists North Valley Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1639452618 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 26, 2011 |
| Last updated in NPPES | Sep 10, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA60248541 | WA |
| Physician Assistant, Medical | 363AM0700X | PA60248541 | WA |
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 | 234 |
|---|---|
| Services billed | 287 across 5 procedure codes |
| Paid by Medicare | $12,304 |
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 25 30-day fills |
|---|---|
| Total drug cost | $102.47 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Yakima Valley Memorial PhysiciansYakima, WA · 391 clinicians
- Grays Harbor County Public Hospital District No 1Elma, WA · 63 clinicians
Hospital affiliations
- North Valley HospitalTonasket, WA
- Summit Pacific Medical CenterElma, WA
- Yakima Valley MemorialYakima, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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