NPI age
19 years
Enumerated 2006-10-03
● Active
Type 1 · Individual
DR. Maryjayne Mabrey Johnson, ARNP
Johnson is 1 of 79 nurse practitioner providers in Coeur D Alene and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
ID, UT, CA, WA
4 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
19 years
↑ 12 yr above median (7 yr)
State licenses
4 states
Top 86% — 13% of peers are multi-state
Subspecialties
0
27% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
6190 N Sunshine St Ste E
Coeur D Alene, ID 838158697
Mailing address
6190 N Sunshine St Ste E
Coeur D Alene, ID 838158697
Additional practice locations
1 secondary location on file with NPPES.
Location 2
820 N Chelan Ave
Wenatchee, WA 988012028
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 1225123888 | |
| 01 (WA) | P01522254 | RR PTAN |
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse practitioner providers have been added in Coeur D Alene in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.