ALISA LUCERO JOHNSTON
NPI 1770093882
Nurse Practitioner - Family in Mobile, AL

Active since October 03, 2017PECOS EnrolledAccepts Medicare Assignment
1359 SPRING HILL AVE, MOBILE, AL 36604(251) 241-0905 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alisa Lucero Johnston NPPES

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

ALISA LUCERO JOHNSTON (NPI 1770093882) is an individual family provider in Mobile, Alabama, licensed in Alabama (1-130329) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Blue Mountain Hospital, and maintains a secondary practice location in Fairhope.

NPPES Registry Identity

NPI1770093882
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALISA LUCERO JOHNSTON
Location Address1359 SPRING HILL AVEMobile, AL 36604-3210
Mailing Address1359 Spring Hill AveMobile, AL 36604-3210 · (251) 241-0905
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 3, 2017
Last NPPES UpdateSeptember 10, 2024
NPPES CertifiedSeptember 10, 2024
✔ NPI 1770093882 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 AL · 1-130329
1359 SPRING HILL AVE, Mobile, AL 36604

Secondary Practice Location 1

Location 1750 Morphy AveFairhope, AL 36532-1812 · Phone (251) 990-1151

Accepted Insurance

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

Alisa Lucero 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 ID3274899240
PECOS Enrollment IDI20251210001294
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 Reassignments

6

Medicare enrollment records show Alisa Johnston reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
900 MONTLIMAR DR
Mobile, AL 36609
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
Emergency Medicine
6801 AIRPORT BLVD
Mobile, AL 36608
  • Reassigned Medicare billing, Alabama enrollment
  • 72 clinicians in this Medicare group
Emergency Medicine
750 MORPHY AVE
Fairhope, AL 36532
  • Reassigned Medicare billing, Alabama enrollment
  • 131 clinicians in this Medicare group
Urgent Care
1925 W MAIN ST STE 120
Centre, AL 35960
  • Reassigned Medicare billing, Alabama enrollment
  • 276 clinicians in this Medicare group
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Alabama and Mississippi enrollments
  • 11 clinicians in this Medicare group
Critical Access
170 FORD RD
John Day, OR 97845
  • Reassigned Medicare billing, Oregon enrollment
  • 66 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Blue Mountain Hospital

Critical Access Hospitals · John Day, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381305
Location170 Ford RoadJohn Day, OR 97845 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36604 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Internal Medicine (Addiction Medicine)
1359 SPRING HILL AVE
MOBILE, AL 36604
Counselor
1359 SPRING HILL AVE
MOBILE, AL 36604

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 Alisa Johnston's NPI number?

The NPI number for Alisa Johnston is 1770093882. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Where is Alisa Johnston located?

Alisa Johnston practices at 1359 Spring Hill Ave, Mobile, AL 36604. The listed phone number is (251) 241-0905.

What is Alisa Johnston's specialty?

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

Is Alisa Johnston enrolled in Medicare?

Yes. Alisa 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.

Which organizations bill Medicare for Alisa Johnston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alisa Johnston reassigns Medicare benefits to 6 organizations: American Family Care LLC (Mobile, AL), Mobile Emergency Physicians, LLC (Mobile, AL), Baldwin Emergency Physicians, P.C.. (Fairhope, AL), Rural Urgent Care LLC (Centre, AL), Community Care Health Network LLC (Nashville, TN) and 1 more organization, listed in the Medicare section above. Each 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 Alisa Johnston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alisa Johnston accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Alisa 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 Alisa Johnston affiliated with any hospitals?

According to CMS data, Alisa Johnston is affiliated with Blue Mountain Hospital.

When was this NPI record last updated?

The NPPES record for Alisa Johnston was last updated on September 10, 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.