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DYLAN JOHNSTON
NPI 1609594787
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since August 16, 2022PECOS EnrolledAccepts Medicare Assignment
1111 W 17TH ST, TULSA, OK 74107(918) 561-1145 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dylan Johnston NPPES

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

DYLAN JOHNSTON (NPI 1609594787) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609594787
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDYLAN JOHNSTON
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address17765 W Triplett RdCashion, OK 73016-9694 · (405) 708-8992
Phone(918) 561-1145
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 16, 2022
NPPES CertifiedAugust 16, 2022
✔ NPI 1609594787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X
1111 W 17TH ST, Tulsa, OK 74107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

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

Dylan Johnston 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 ID6709308513
PECOS Enrollment IDI20250321001234
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

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.

GRAHAM NATHAN JAMEISON MAT, ATC
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 237-2828
MARIYA BOBEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KARLYN TANZEY
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
KAYLEY ANTHAMATTEN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
CHASE YAGER
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (405) 613-1540
MACKENZIE LYNN HATTABAUGH
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972
ASHLEE EASTMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 805-1752
DAVID ROBERT WAXMAN
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Tulsa County (918) 582-1972

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 Dylan Johnston's NPI number?

The NPI number for Dylan Johnston is 1609594787. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Where is Dylan Johnston located?

Dylan Johnston practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 561-1145.

What is Dylan Johnston's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dylan Johnston enrolled in Medicare?

Yes. Dylan Johnston 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.

What insurance does Dylan Johnston accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Dylan Johnston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dylan Johnston affiliated with any hospitals?

According to CMS data, Dylan Johnston is affiliated with Integris Baptist Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Dylan Johnston was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.