JILL JOHNSTON (AGACNP-BC) – Nurse Practitioner, NPI 1134612500

JILL JOHNSTON (AGACNP-BC) is a healthcare provider. based in Newport beach, California. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. AP60863423 (WA). The NPI Number for JILL JOHNSTON (AGACNP-BC) is 1134612500

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JILL JOHNSTON (AGACNP-BC)
NPI
1134612500
Phone
(949) 270-2100
Address
20151 SW BIRCH ST STE 100
Enumeration Date
11 June 2018
Last Update Date
31 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7604993855
Graduation Year
2018 (8 years ago)
PAC ID
5890033906
Group Practice PAC ID
9739099896
Professional Enrollment ID
I20200302001966
Address ID
CA935553131RI1111XBLVD500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:8State licenses:1Digital endpointsOther names

6,307 NURSE PRACTITIONER in WA

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Provider Addresses for JILL JOHNSTON (AGACNP-BC)

  • 20151 SW BIRCH ST STE 100

    NEWPORT BEACH, CA 926601794

    Phone: (949) 270-2100

    Fax: (949) 650-4458

    Type: Mailing

  • 1418, South Tacoma Street, Spokane, Spokane County, Washington, 99203, United States

    SPOKANE, WA 992032258

    Phone: (949) 295-4069

    Type: Mailing

  • 1081 N CHINA LAKE BLVD

    RIDGECREST, CA 935553130

    Phone: (760) 499-3899

    Fax: (760) 499-3870

    Type: Mailing

  • 1111 N CHINA LAKE BLVD STE 190

    RIDGECREST, CA 935553131

    Phone: (760) 499-3855

    Fax: (760) 499-3870

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Alkermes, Inc. ($104).

Total Amount

$137

General + Research + Ownership

Payments

2

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2020-03-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20200302001966INurse PractitionerCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92660)

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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: 9739099896View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
-WV
Internal MedicineCA
Certified Registered Nurse Anesthetist (Crna)NM
-CA
-CA
-CA
Nurse PractitionerCA
-CA

Reviews

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Frequently asked questions

What unique ID ties claims to JILL JOHNSTON (AGACNP-BC)?
NPI 1134612500 is assigned to JILL JOHNSTON (AGACNP-BC) under the national enumeration system.
Is JILL JOHNSTON (AGACNP-BC) active in the national directory?
JILL JOHNSTON (AGACNP-BC)'s public NPI profile is in an active state.
What kind of provider is JILL JOHNSTON (AGACNP-BC)?
The page reflects Nurse Practitioner for JILL JOHNSTON (AGACNP-BC). Clinical services aligned with this taxonomy classification.
What location shows for JILL JOHNSTON (AGACNP-BC)?
We surface Newport Beach, California for JILL JOHNSTON (AGACNP-BC) based on available NPPES addresses.
Is JILL JOHNSTON (AGACNP-BC) a real provider?
This page reflects official NPPES data for NPI 1134612500. Always confirm identity and privileges with the practice and licensing boards.

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