Mr. David Lars Christian Johnsrud, BA, MAC, BSN

Individual provider Ambulatory Care Registered Nurse · NPI 1063152791

Mr. David Lars Christian Johnsrud, BA, MAC, BSN is an Ambulatory Care Registered Nurse in Auburn, Washington. Licensed in Arizona and Washington. Registered with an NPI since 2022.

Licensed in: AZ, WA
In the registry since: 2022
Specialties on file: 2

What do these letters mean?

BA — Bachelor of Arts: An undergraduate arts degree.
BSN — Bachelor of Science in Nursing: A four-year nursing degree.

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Practice location Address checks out

1002 15th St SW Mailstop 1002-1-TRI
Auburn, WA 98001-9841
Phone: (520) 225-9785

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary)	Taxonomy 363LP0808X · Licence RNP289863 (AZ)
Ambulatory Care Registered Nurse	Taxonomy 163WP2201X · Licence 60607354 (WA)

Record details

NPI number	1063152791
Entity type	Individual (Type 1)
Gender	Male
Credentials	BA , MAC , BSN
Sole proprietor	No
NPI enumerated	March 30, 2022
Last updated in NPPES	October 16, 2023
Certification date	October 14, 2023

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients	52
Services billed	348 a service is one billed item, such as a visit, a test or a procedure
Average patient age	74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.