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DALLIN STEPHEN RALPH JOHNSON PMHNP-BC
NPI 1730910415
Clinical Nurse Specialist - Psychiatric/Mental Health in Las Vegas, NV

Active since August 13, 2024PECOS EnrolledAccepts Medicare Assignment
6600 W CHARLESTON BLVD STE 142, LAS VEGAS, NV 89146(702) 440-8430(866) 640-0525 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dallin Stephen Ralph Johnson Pmhnp-bc NPPES

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

DALLIN STEPHEN RALPH JOHNSON PMHNP-BC (NPI 1730910415) is an individual psychiatric/mental health provider in Las Vegas, Nevada, licensed in Nevada (833966) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1730910415
Entity TypeIndividualMale
Primary Taxonomy364SP0808X
Provider Legal NameDALLIN STEPHEN RALPH JOHNSONCredential: PMHNP-BC
Location Address6600 W CHARLESTON BLVD STE 142Las Vegas, NV 89146-1050
Mailing Address6600 W Charleston Blvd Ste 142Las Vegas, NV 89146-1050 · (702) 440-8430
Phone(702) 440-8430
Fax(866) 640-0525
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1730910415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0808X
License✔ Licensed in NV · 833966
6600 W CHARLESTON BLVD STE 142, Las Vegas, NV 89146
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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 and accepts Medicare assignment

Dallin Stephen Ralph Johnson 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 ID3870034176
PECOS Enrollment IDI20240925004302
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 Dallin Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stark Medicine Khurana Jeider PLLC
Same address
Child & Adolescent Psychiatry
6600 W CHARLESTON BLVD STE 140
Las Vegas, NV 89146
  • Reassigned Medicare billing, Nevada enrollment
  • Medicare enrollment name: Stark Medicine Mckay Khurana Jeider PLLC
  • 34 clinicians in this Medicare group
NPI 1053880856 (725) 246-1483

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 89146 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 11

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

VANESSA BELTRAN MARIASIS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6600 W CHARLESTON BLVD STE 142
LAS VEGAS, NV 89146
Clark County (702) 440-8430
TIFFANI LYNN LAIRD APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
6600 W CHARLESTON BLVD STE 142
LAS VEGAS, NV 89146
Clark County (702) 440-8430
ANGELA RUPP RN
Nurse Practitioner (Psychiatric/Mental Health)
6600 W CHARLESTON BLVD STE 142
LAS VEGAS, NV 89146
Clark County (702) 440-8430
MS. ALEXA CARROZZA APRN
Nurse Practitioner (Psychiatric/Mental Health)
6600 W CHARLESTON BLVD STE 142
LAS VEGAS, NV 89146
Clark County (702) 440-8430
NATALIE PHAN MD
Psychiatry & Neurology (Psychiatry)
6600 W CHARLESTON BLVD STE 142
LAS VEGAS, NV 89146
Clark County (702) 440-8430
EMILY DORIN
Psychiatry & Neurology (Psychiatry)
6600 W CHARLESTON BLVD STE 142
LAS VEGAS, NV 89146
Clark County (702) 440-8430
JOHANNA YVES CUDA
Marriage & Family Therapist
6600 W CHARLESTON BLVD STE 142
LAS VEGAS, NV 89146
Clark County (702) 430-2136
KOMAL KAUR PORDAL MD
Psychiatry & Neurology (Psychiatry)
6600 W CHARLESTON BLVD STE 142
LAS VEGAS, NV 89146
Clark County (702) 440-8430

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 Dallin Johnson's NPI number?

The NPI number for Dallin Johnson is 1730910415. It was assigned to this individual provider in the NPPES registry on August 13, 2024.

Where is Dallin Johnson located?

Dallin Johnson practices at 6600 W Charleston Blvd Ste 142, Las Vegas, NV 89146. The listed phone number is (702) 440-8430.

What is Dallin Johnson's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, with taxonomy code 364SP0808X.

Is Dallin Johnson enrolled in Medicare?

Yes. Dallin 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 Dallin Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dallin Johnson reassigns Medicare benefits to Stark Medicine Khurana Jeider PLLC (Las Vegas, NV). 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 Dallin 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 Dallin Johnson was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.