ALISA LUCERO JOHNSTON – Family Nurse Practitioner, NPI 1770093882

ALISA LUCERO JOHNSTON is a healthcare provider. based in Fairhope, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-130329 (AL). The NPI Number for ALISA LUCERO JOHNSTON is 1770093882

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ALISA LUCERO JOHNSTON
NPI
1770093882
Phone
(251) 990-1151
Address
750 Morphy Ave
Enumeration Date
3 October 2017
Last Update Date
10 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5415750404
Graduation Year
2017 (9 years ago)
PAC ID
3274899240
Group Practice PAC ID
5193719219
Professional Enrollment ID
I20251210001294
Address ID
OR978452009JO180XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for ALISA LUCERO JOHNSTON

  • 750 Morphy Ave

    Fairhope, AL 365321812

    Phone: (251) 990-1151

    Type: Location

  • 1359 SPRING HILL AVE

    MOBILE, AL 366043210

    Phone: (251) 241-0905

    Type: Mailing

  • 1st Avenue North, Morris Avenue-First Avenue North Historic District, Birmingham, Jefferson County, Alabama, 35206, United States

    BIRMINGHAM, AL 352031866

    Phone:

    Type: Mailing

  • 6280, Grelot Road, Mobile, Mobile County, Alabama, 36695, United States

    MOBILE, AL 366093614

    Phone: (251) 288-5606

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $102.

Total Amount is formed as General ($102) + Research ($0) + Ownership ($0) = $102.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($40).

Total Amount

$102

General + Research + Ownership

Payments

5

Total payment records

General Amount

$102

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171107001912INurse PractitionerALTBD
I20210831003775INurse PractitionerMSTBD
I20251210001294INurse PractitionerORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2018$0
99284Emergency department visit with moderate level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 36532)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193719219View full group profile
NameSpecialtyState
Family PracticeOR
Family Practice, Emergency Medicine, Osteopathic Manipulative Medicine, Hospitalist, Family PracticeID
Nurse PractitionerOR
Certified Registered Nurse Anesthetist (Crna)WA
D E R M A T O L O G YNC
Family PracticeAZ
Nurse PractitionerOR
Family PracticeOR
Family PracticeOR
General SurgeryUT

Reviews

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Frequently asked questions

How do I look up ALISA LUCERO JOHNSTON by NPI?
Use NPI 1770093882 when you need to reference ALISA LUCERO JOHNSTON in forms, claims, or directories.
Is ALISA LUCERO JOHNSTON currently active in the NPI registry?
CMS-published data lists ALISA LUCERO JOHNSTON as an active registrant.
Does ALISA LUCERO JOHNSTON list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for ALISA LUCERO JOHNSTON. Clinical services aligned with this taxonomy classification.
Does ALISA LUCERO JOHNSTON practice in Alabama?
You will see Fairhope, Alabama on file for ALISA LUCERO JOHNSTON alongside any extra practice locations.
What if Fairhope, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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