Mr David Lars Christian Johnsrud, BA, MAC, BSN in Auburn, WA

Mr David Lars Christian Johnsrud, BA, MAC, BSN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Auburn, Washington. His current practice location is 1002 15th St Sw, Mailstop 1002-1-tri, Auburn, Washington. You can reach out to his office (for appointments etc.) via phone at (520) 225-9785.

Mr David Lars Christian Johnsrud is licensed to practice in Arizona (license number RNP289863) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063152791.

Contact Information

	Mr David Lars Christian Johnsrud, BA, MAC, BSN
	1002 15th St Sw, Mailstop 1002-1-tri, Auburn, WA 98001-9841
	(520) 225-9785
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr David Lars Christian Johnsrud
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1002 15th St Sw, Auburn, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063152791
Provider Enumeration Date: 03/30/2022
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2365898186
Enrollment ID: I20231030002788

Medical Identifiers

Medical identifiers for Mr David Lars Christian Johnsrud such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063152791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP2201X	Registered Nurse - Ambulatory Care	60607354 (Washington)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RNP289863 (Arizona)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr David Lars Christian Johnsrud allows following entities to bill medicare on his behalf.

Entity Name	Health Group Providers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932560729 PECOS PAC ID: 9335430693 Enrollment ID: O20160617000240

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David Lars Christian Johnsrud is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr David Lars Christian Johnsrud, BA, MAC, BSN 3841 N Country Club Rd Unit 2, Tucson, AZ 85716-1011 Ph: (520) 225-9785	Mr David Lars Christian Johnsrud, BA, MAC, BSN 1002 15th St Sw, Mailstop 1002-1-tri, Auburn, WA 98001-9841 Ph: (520) 225-9785

Reviews and Comments

Nurse Practitioner Nurses in Auburn, WA

Deborah Ann Coughlin, ARNP: AP30007936 Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1340 M St Se, Suite A, Auburn, WA 98002 Phone: 253-735-2777 Fax: 253-735-4153
Mrs. Alicia Austria Paraiso, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Auburn Ave, Auburn, WA 98002 Phone: 206-205-6855 Fax: 206-296-8403
Mrs. Oanh Thi Lam, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31510 120th Ct Se, Auburn, WA 98092 Phone: 315-399-7573
Ms. Lucie Mckee, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 E Main St, Suite 100, Auburn, WA 98002 Phone: 253-939-9654 Fax: 253-939-6549
Linda Josephine Matthews, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29224 120th Way Se, Auburn, WA 98092 Phone: 206-249-5440
Ms. Jennifer Christine Drake, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4240 Auburn Way N, Sound Mental Health, Auburn, WA 98002 Phone: 253-876-8900 Fax: 253-876-8910
Dixie Leah Reynolds, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 202 N Division St Ste 202, Auburn, WA 98001 Phone: 253-876-8088

Mr David Lars Christian Johnsrud, BA, MAC, BSN - Medicare Nurse Practitioner in Auburn, WA