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JOHNNIE RAE CYR FNP
NPI 1720673890
Nurse Practitioner - Family in El Centro, CA

Active since March 01, 2021PECOS Enrolled
1600 S IMPERIAL AVE STE 3, EL CENTRO, CA 92243(760) 339-2802(760) 355-9520 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Johnnie Rae Cyr Fnp NPPES

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

JOHNNIE RAE CYR FNP (NPI 1720673890) is an individual family provider in El Centro, California, licensed in California (95016559) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720673890
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOHNNIE RAE CYRCredential: FNP
Location Address1600 S IMPERIAL AVE STE 3El Centro, CA 92243-4242
Mailing Address516 W Aten Rd Ste 2Imperial, CA 92251-9805 · (760) 355-7730
Phone(760) 339-2802
Fax(760) 355-9520
Sole ProprietorYes
Enumeration DateMarch 1, 2021
NPPES CertifiedMarch 1, 2021
✔ NPI 1720673890 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 CA · 95016559
1600 S IMPERIAL AVE STE 3, El Centro, CA 92243
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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)

Johnnie Rae Cyr Fnp 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 Johnnie Cyr reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Imperial Valley Family Care Medical Group Apc
3.3 mi
General Practice
516 WEST ATEN ROAD, SUITE 2
Imperial, CA 92251
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Imperial Valley Family Care Medical Group A P C
  • 81 clinicians in this Medicare group
NPI 1275581894 (760) 355-7730

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 92243 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
$90.40 typical visit price
range $58.90 – $176.72
Typical copayment $22.60 (range $14.72 – $44.18)
Most-billed visit code 99203
Established Patient
$103.42 typical visit price
range $19.28 – $144.68
Typical copayment $25.85 (range $4.82 – $36.17)
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.

Other Providers at the Same Location NPPES 2

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

PATRICIA DIANE PADILLA MSN, APRN, FNP
Nurse Practitioner (Family)
1600 S IMPERIAL AVE STE 3
EL CENTRO, CA 92243
Imperial County (760) 339-2802
EDNA HERNANDEZ FNP
Nurse Practitioner (Family)
1600 S IMPERIAL AVE STE 3
EL CENTRO, CA 92243
Imperial County (760) 339-2802

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 Johnnie Cyr's NPI number?

The NPI number for Johnnie Cyr is 1720673890. It was assigned to this individual provider in the NPPES registry on March 1, 2021.

Where is Johnnie Cyr located?

Johnnie Cyr practices at 1600 S Imperial Ave Ste 3, El Centro, CA 92243. The listed phone number is (760) 339-2802.

What is Johnnie Cyr's specialty?

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

Is Johnnie Cyr enrolled in Medicare?

Yes. Johnnie Cyr is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Johnnie Cyr's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Johnnie Cyr reassigns Medicare benefits to Imperial Valley Family Care Medical Group Apc (Imperial, 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 Johnnie Cyr'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 Johnnie Cyr was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.