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ALYSSA JOHNSTON NP
NPI 1710408224
Nurse Practitioner - Family in Chandler, AZ

Active since July 05, 2017PECOS Enrolled
3650 S HAWTHORN DR, CHANDLER, AZ 85248(309) 643-0854 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 31, 2022, Sep 8, 2022, Aug 17, 2022 and 3 more (6 updates tracked since 2017).

About Alyssa Johnston Np NPPES

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

ALYSSA JOHNSTON NP (NPI 1710408224) is an individual family provider in Chandler, Arizona, licensed in Arizona (AP10309) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710408224
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALYSSA JOHNSTONCredential: NP
Location Address3650 S HAWTHORN DRChandler, AZ 85248-4221
Mailing Address50 S B B King Blvd # 100Memphis, TN 38103-2626 · (901) 436-1381
Phone(309) 643-0854
Sole ProprietorYes
Enumeration DateJuly 5, 2017
Last NPPES UpdateOctober 31, 20226 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1710408224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP10309
3650 S HAWTHORN DR, Chandler, AZ 85248
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Johnston Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Alyssa Johnston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Duo Health Of Arizona LLC
1,452 mi
Nephrology
980 N MICHIGAN AVE STE 1998
Chicago, IL 60611
  • Reassigned Medicare billing, Arizona enrollment
  • 6 clinicians in this Medicare group
NPI 1730816703 (855) 386-2799

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 85248 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers24 claims60 services$5.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Alyssa Johnston's NPI number?

The NPI number for Alyssa Johnston is 1710408224. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Alyssa Johnston located?

Alyssa Johnston practices at 3650 S Hawthorn Dr, Chandler, AZ 85248. The listed phone number is (309) 643-0854.

What is Alyssa Johnston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alyssa Johnston enrolled in Medicare?

Yes. Alyssa Johnston is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alyssa Johnston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Johnston reassigns Medicare benefits to Duo Health Of Arizona LLC (Chicago, IL). 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 Alyssa Johnston'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 Alyssa Johnston was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.