Crystal Nicole Johnson, FNP-C in Chino, CA - Medicare Nurse Practitioner

Crystal Nicole Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Chino, California. Her current practice location is 13763 Harvard Ave, Chino, California. You can reach out to her office (for appointments etc.) via phone at (707) 365-3599.

Crystal Nicole Johnson is licensed to practice in California (license number 95026258) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902588726.

Contact Information

	Crystal Nicole Johnson, FNP-C
	13763 Harvard Ave, Chino, CA 91710-7109
	(707) 365-3599
	Not Available

Map and Direction

Provider's Profile

Full Name	Crystal Nicole Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	13763 Harvard Ave, Chino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902588726
Provider Enumeration Date: 08/01/2023
Last Update Date: 08/01/2023

Medicare PECOS Information:

PECOS PAC ID: 8022464213
Enrollment ID: I20231024003204

Medical Identifiers

Medical identifiers for Crystal Nicole Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902588726	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95026258 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Crystal Nicole Johnson allows following entities to bill medicare on her behalf.

Entity Name	Moreno Family Medical And Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043615610 PECOS PAC ID: 1951625680 Enrollment ID: O20150128001290

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Nicole Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Crystal Nicole Johnson, FNP-C 13763 Harvard Ave, Chino, CA 91710-7109 Ph: (707) 365-3599	Crystal Nicole Johnson, FNP-C 13763 Harvard Ave, Chino, CA 91710-7109 Ph: (707) 365-3599

Reviews and Comments

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Crystal Nicole Johnson, FNP-C - Medicare Nurse Practitioner in Chino, CA