CRYSTAL JOHNSON RN, PMHNP-BC
NPI 1467286781
Nurse Practitioner - Psychiatric/Mental Health in Tustin, CA

Active since August 28, 2024PECOS EnrolledAccepts Medicare Assignment
17612 17TH ST STE A, TUSTIN, CA 92780(800) 383-8180 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2024, Sep 30, 2024 (2 updates tracked since 2024).

About Crystal Johnson Rn, Pmhnp-bc NPPES

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

CRYSTAL JOHNSON RN, PMHNP-BC (NPI 1467286781) is an individual psychiatric/mental health provider in Tustin, California, licensed in California (95031925) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2024).

NPPES Registry Identity

NPI1467286781
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCRYSTAL JOHNSONCredential: RN, PMHNP-BC
Location Address17612 17TH ST STE ATustin, CA 92780-1962
Mailing Address17612 17th St Ste ATustin, CA 92780-1962
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2024
Enumeration DateAugust 28, 2024
Last NPPES UpdateNovember 20, 20242 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1467286781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95031925
Also ListedRegistered NurseTaxonomy 163W00000X · License 95364126 (CA), 274396 (TN)
17612 17TH ST STE A, Tustin, CA 92780

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

Crystal Johnson Rn, Pmhnp-bc 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 ID749794105
PECOS Enrollment IDI20250708003114
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Crystal Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
5888 EDINGER AVE
Huntington Beach, CA 92649
  • Reassigned Medicare billing, California enrollment
  • 25 clinicians in this Medicare group
Psychiatric/Mental Health
245 5TH AVE FL 3
New York, NY 10016
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Psychiatric Nurse Practitioner PC
  • 7 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92780 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Crystal Johnson's NPI number?

The NPI number for Crystal Johnson is 1467286781. It was assigned to this individual provider in the NPPES registry on August 28, 2024.

Where is Crystal Johnson located?

Crystal Johnson practices at 17612 17th St Ste A, Tustin, CA 92780. The listed phone number is (800) 383-8180.

What is Crystal Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Crystal Johnson enrolled in Medicare?

Yes. Crystal 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 organizations bill Medicare for Crystal Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Johnson reassigns Medicare benefits to 2 organizations: Telemedicine Urgent Care Inc (Huntington Beach, CA) and Psychiatric Nurse Practitioner P.C (New York, NY). Each 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 Crystal 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 Crystal Johnson was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.