JILL JOHNSTON (AGACNP-BC) – Nurse Practitioner, NPI 1134612500
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Alkermes, Inc. | $104 |
| Gilead Sciences, Inc. | $33 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200302001966 | I | Nurse Practitioner | CA | TBD |
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.
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
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Nurse Practitioner | CA | |
| - | WV | |
| Internal Medicine | CA | |
| Certified Registered Nurse Anesthetist (Crna) | NM | |
| - | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| - | CA |
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