SIBONISIWE MOYO JOHNSON NP
NPI 1255872719
Nurse Practitioner in Moreno Valley, CA
About Sibonisiwe Moyo Johnson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIBONISIWE MOYO JOHNSON NP (NPI 1255872719) is an individual nurse practitioner in Moreno Valley, California, licensed in California (95005225) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fontana, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sibonisiwe Moyo Johnson Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Sibonisiwe Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92508
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92553 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MORENO VALLEY, CA 92553
MORENO VALLEY, CA 92553
MORENO VALLEY, CA 92553
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 Sibonisiwe Johnson's NPI number?
The NPI number for Sibonisiwe Johnson is 1255872719. It was assigned to this individual provider in the NPPES registry on March 16, 2017. The provider is also known as Sibonisiwe Moyo Np.
Where is Sibonisiwe Johnson located?
Sibonisiwe Johnson practices at 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553. The listed phone number is (951) 656-7081.
What is Sibonisiwe Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Sibonisiwe Johnson enrolled in Medicare?
Yes. Sibonisiwe 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.
Which organization bills Medicare for Sibonisiwe Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sibonisiwe Johnson reassigns Medicare benefits to Mission Grove Medical Corporation (Riverside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sibonisiwe Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sibonisiwe Johnson was last updated on October 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Sibonisiwe Moyo Johnson, NP · NPI 1255872719
Nurse Practitioner physician in Moreno Valley, California. Individual provider, active in the CMS NPPES registry since March 16, 2017.
## Identity
- **NPI:** 1255872719 (Entity type: Individual)
- **Enumerated:** March 16, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95005225 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22555 ALESSANDRO BLVD STE B, Moreno Valley, CA 92553
- **Phone:** (951) 656-7081 · **Fax:** (951) 656-1710
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mission Grove Medical Corporation (NPI 1205224417, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 9, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1255872719) · Data from the CMS NPPES public registry.