ALYSSA JOHNSTON REGISTERED NURSING, INC.
NPI 1740922640
Family Medicine in Roseville, CA
About Alyssa Johnston Registered Nursing, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA JOHNSTON REGISTERED NURSING, INC. (NPI 1740922640) is a healthcare organization registered as a family medicine in Roseville, California and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Roseville and lists Jacob Sung Keum, Attending Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alyssa Johnston Registered Nursing, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Alyssa Johnston Registered Nursing, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Registered Nursing, Inc.'s NPI number?
The NPI number for Alyssa Johnston Registered Nursing, Inc. is 1740922640. It was assigned to this organization in the NPPES registry on April 11, 2022.
Where is Alyssa Johnston Registered Nursing, Inc. located?
Alyssa Johnston Registered Nursing, Inc. is located at 1814 Cirby Way Apt B, Roseville, CA 95661. The listed phone number is (770) 876-9602.
What is Alyssa Johnston Registered Nursing, Inc.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alyssa Johnston Registered Nursing, Inc. enrolled in Medicare?
Yes. Alyssa Johnston Registered Nursing, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Alyssa Johnston Registered Nursing, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Alyssa Johnston Registered Nursing, Inc.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Alyssa Johnston Registered Nursing, Inc. was last updated on April 20, 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.
# Alyssa Johnston Registered Nursing, Inc. · NPI 1740922640
Family Medicine organization in Roseville, California. Organization record, active in the CMS NPPES registry since April 11, 2022.
## Identity
- **NPI:** 1740922640 (Entity type: Organization)
- **Enumerated:** April 11, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Jacob Keum, ATTENDING PHYSICIAN
## Practice location
- **Address:** 1814 CIRBY WAY APT B, Roseville, CA 95661-5564
- **Phone:** (770) 876-9602
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2022
- **Other identifiers:** Other 1215998737; Other 1891281432
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Source: [NPI Profile](https://npiprofile.com/npi/1740922640) · Data from the CMS NPPES public registry.