Alyssa Virginia Johnston, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95013336 Issued in CA

Practice address

1814 Cirby Way Apt B
Roseville, CA 95661-5564

Phone

(770) 876-9602

NPI assigned

Jul 6, 2018

Reactivated

Nov 27, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alyssa Virginia Makowski Former name

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nextgen Wound Care Solutions West PCGroup PAC ID 5294213039, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: alyssa.johnston@610593392689156.direct.elationemr.com
• Direct secure messaging: alyssa.johnston@326307375480836.direct.elationemr.com

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.

• Nextgen Wound Care Solutions West PC

  • Nurse Practitioner
  • Mather, CA
  • NPI 1063374858
  Medicare reassignment Care Compare group NPD Authorized official
• Alyssa Johnston Registered Nursing, Inc.

  • Family Medicine Physician
  • Roseville, CA
  • NPI 1740922640
  Medicare reassignment

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1891281432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 CIRBY WAY APT B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615564",
            "telephone_number": "770-876-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 CIRBY WAY APT B",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615564",
            "telephone_number": "770-876-9602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "ALYSSA",
        "middle_name": "VIRGINIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "deactivation_date": "2019-11-21",
        "reactivation_date": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "95013336",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.wellbyamllc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1814 Cirby Way Apt B",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956615564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "MAKOWSKI",
            "middle_name": "VIRGINIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melissa Ann Johnson, M.D.
• Rebecca Johnson, M.S.
• Samuel Elan Johnson, D.O.
• Scott S. Johnson, MD
• Tracey J Johnson, NP
• Jon James Johnston, D.O
• Kent W. Jolly, MD
• Jon Perlstein, M.D., Inc
• Yesenia Jonach Mendez, M.S CCC-SLP
• Kathi Jones-Lorenz, PH.D.

• Family Nurse Practitioner in Roseville, CA
• Providers in Roseville, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.