Individual provider Active NPI

Priscilla Jo Johnston, APRN

  • Gerontology Nurse Practitioner
  • Cedarville, AR
National Provider Identifier
1033696273
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
A005522 Issued in AR
Practice address
9217 N Highway 59
Cedarville, AR 72932
Phone
(870) 895-2015
Fax
(870) 895-2164
NPI assigned
Jul 20, 2018
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A005522 AR
Acute Care Nurse Practitioner 363LA2100X A005522 AR
Gerontology Nurse Practitioner 363LG0600X A005522 AR Primary

Addresses

Primary practice location

9217 N Highway 59
Cedarville, AR 72932

Mailing address

4196 Highway 62 412 Ste a
Hardy, AR 72542-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180806000318 AR Practitioner - Nurse Practitioner 2466700695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

16723 Hwy 62
Garfield, AR 72732-7007
Phone (870) 219-7706

806 E Main St
Flippin, AR 72634-8668
Phone (870) 219-7706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A005522ARMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medical Clinic Arkansas LLC CurrentSince Jul 23, 2018 Accepting new patients
Access Medical Clinic Arkansas LLC CurrentSince Jul 23, 2018 Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas, LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients
Access Medical Clinic Arkansas, LLC Past Accepting new patients
Access Medical Clinic Arkansas LLC Past Accepting new patients

Locations

806 E Main St
Flippin, AR 72634
Phone (870) 219-7706

16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706

4196 Highway 62 412
#A
Hardy, AR 72542
Phone (870) 856-2100

106 Highway 62 W
Salem, AR 72576
Phone (870) 895-2762

Interoperability endpoints

  • Direct secure messaging: priscilla.johnston.1@15024.direct.athenahealth.com

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1033696273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9217 N HIGHWAY 59",
            "city": "CEDARVILLE",
            "state": "AR",
            "postal_code": "72932",
            "telephone_number": "870-895-2015",
            "fax_number": "870-895-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "PRISCILLA",
        "middle_name": "JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-20",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A005522",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AR",
            "license": "A005522",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AR",
            "license": "A005522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarville, AR

Sources for this page

Verify at the official NPI Registry.