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CRYSTALLE JOHNSON CNM
NPI 1003631334
Advanced Practice Midwife in Media, PA

Active since November 21, 2024PECOS EnrolledAccepts Medicare Assignment
1098 W BALTIMORE PIKE, SUITE 3106 RHC 3, MEDIA, PA 19063(610) 891-6240 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Nov 21, 2024 (2 updates tracked since 2024).

About Crystalle Johnson Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTALLE JOHNSON CNM (NPI 1003631334) is an individual advanced practice midwife in Media, Pennsylvania, licensed in Pennsylvania (MW010839) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Media, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1003631334
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameCRYSTALLE JOHNSONCredential: CNM
Location Address1098 W BALTIMORE PIKE, SUITE 3106 RHC 3Media, PA 19063-5139
Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336 · (484) 337-1632
Phone(610) 891-6240
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 21, 2024
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1003631334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in PA · MW010839
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1098 W BALTIMORE PIKE, Media, PA 19063
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Secondary Practice Location 1

Location 11068 W Baltimore Pike # 3106Media, PA 19063-5104 · Phone (610) 891-6240

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Crystalle Johnson Cnm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244768752
PECOS Enrollment IDI20250113000533
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RIDDLE HEALTH CARE SERVICES
Physical Medicine & Rehabilitation
1098 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 891-3388
BRODKOHUTIAK&JAMALILTD
Internal Medicine
1098 W BALTIMORE PIKE, SUITE 3311
MEDIA, PA 19063
Delaware County (610) 565-7810
SUSAN KIRCHDOERFFER DO
Family Medicine
1098 W BALTIMORE PIKE, SUITE 3101
MEDIA, PA 19063
Delaware County (610) 891-9277
SEAN ANTHONY WRIGHT M.D., F.A.C.S.
Plastic Surgery
1098 W BALTIMORE PIKE, SUITE 3306
MEDIA, PA 19063
Delaware County (610) 565-2848
SALVATORE J CAPONE ATC, CSCS
Specialist/Technologist (Athletic Trainer)
1098 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (610) 891-3030
GRANITE MEDICAL PC
Clinic/Center (Primary Care)
1098 W BALTIMORE PIKE, RMH OPP STE 3304
MEDIA, PA 19063
Delaware County (610) 891-9640
GABRIELLE CROMLEY
Pharmacist (Critical Care)
1098 W BALTIMORE PIKE
MEDIA, PA 19063
Delaware County (484) 227-2274
MAUREEN LUBAS
Nurse Practitioner (Gerontology)
1098 W BALTIMORE PIKE, SUITE 3101
MEDIA, PA 19063
Delaware County (610) 891-9277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystalle Johnson's NPI number?

The NPI number for Crystalle Johnson is 1003631334. It was assigned to this individual provider in the NPPES registry on November 21, 2024.

Where is Crystalle Johnson located?

Crystalle Johnson practices at 1098 W Baltimore Pike Suite 3106 Rhc 3, Media, PA 19063. The listed phone number is (610) 891-6240.

What is Crystalle Johnson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Crystalle Johnson enrolled in Medicare?

Yes. Crystalle Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Crystalle Johnson was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.