1. Home
  2. Directory
  3. Alabama
  4. Mobile
  5. Nurse Practitioner
  6. NPI Profile

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: August 02, 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
Phone(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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

VISTA MEDICAL OF ALABAMA, INC
Internal Medicine (Addiction Medicine)
1359 SPRING HILL AVE
MOBILE, AL 36604
Mobile County (251) 241-0905
KELLY HAMMACK ALC
Counselor
1359 SPRING HILL AVE
MOBILE, AL 36604
Mobile County (251) 317-3951

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.

What insurance does Alisa Johnston accept?

Health plans from Blue Cross and Blue Shield of Alabama 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 22 months 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.