Individual provider Active NPI

Jill Johnston, AGACNP-BC

  • Nurse Practitioner
  • Ridgecrest, CA
National Provider Identifier
1134612500
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60863423 Issued in WA
Practice address
1111 N China Lake Blvd Ste 190
Ridgecrest, CA 93555-3131
Phone
(760) 499-3855
Fax
(760) 499-3870
NPI assigned
Jun 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP60863423 WA
Nurse Practitioner 363L00000X AP60863423 WA Primary
Adult Health Nurse Practitioner 363LA2200X AP60863423 WA

Addresses

Primary practice location

1111 N China Lake Blvd Ste 190
Ridgecrest, CA 93555-3131

Mailing address

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 499-3899

Other identifiers 1

IdentifierTypeStateIssuer
AP60863423OtherWAARNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200302001966 CA Practitioner - Nurse Practitioner 5890033906 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, 94 clinicians

Practice addresses (Care Compare)

1111 N China Lake Blvd
Ridgecrest, CA 93555-3131
Phone (760) 499-3855

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60863423WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital CurrentSince Mar 1, 2026 Accepting new patients
Share Our Selves Corporation CurrentSince Jul 28, 2022 Accepting new patients
Ridgecrest Regional Hospital CurrentSince Mar 1, 2026 Accepting new patients
Share Our Selves Corporation Current Accepting new patients
Share Our Selves Corporation Current Accepting new patients
Santa Barbara County Auditor CurrentSince Sep 30, 2024 Accepting new patients
Share Our Selves Corporation CurrentSince Jul 28, 2022 Accepting new patients
Global Transitional Care, LLC CurrentSince Feb 10, 2020 Accepting new patients
Santa Barbara County Auditor CurrentSince Sep 30, 2024 Accepting new patients

Locations

1550 Superior Ave
Costa Mesa, CA 92627
Phone (949) 650-0186

5161 California Ave
Ste 200
Irvine, CA 92617
Phone (949) 543-0124

27725 Santa Margarita Pkwy
Ste 101
Mission Viejo, CA 92691
Phone (949) 462-3999

20151 SW Birch St
Ste 100
Newport Beach, CA 92660

1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571

1111 N China Lake Blvd
#190
Ridgecrest, CA 93555
Phone (760) 499-3855

1041 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0121

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

300 N San Antonio Rd
Rm 107
Santa Barbara, CA 93110
Phone (805) 681-5461

2115 Centerpointe Pkwy
Santa Maria, CA 93455
Phone (805) 346-7230

Organizations & group practices 9

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

Hospital & facility affiliations 2

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1134612500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553130",
            "telephone_number": "760-499-3899",
            "fax_number": "760-499-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N CHINA LAKE BLVD STE 190",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553131",
            "telephone_number": "760-499-3855",
            "fax_number": "760-499-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JILL",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP60863423",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60863423",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60863423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "AP60863423",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.