Crystalle Johnson, CNM - Medicare Advanced Practice Midwife in Media, PA

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Crystalle Johnson, CNM is a medicare enrolled "Advanced Practice Midwife" in Media, Pennsylvania. Her current practice location is 1098 W Baltimore Pike, Suite 3106 Rhc 3, Media, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 891-6240.

Crystalle Johnson is licensed to practice in Pennsylvania (license number MW010839) 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 1003631334.

Contact Information

Crystalle Johnson, CNM
1098 W Baltimore Pike, Suite 3106 Rhc 3,
Media, PA 19063-5139
(610) 891-6240
Not Available

Map and Direction




Provider's Profile

Full NameCrystalle Johnson
GenderFemale
SpecialityAdvanced Practice Midwife
Location1098 W Baltimore Pike, Media, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003631334
  • Provider Enumeration Date: 11/21/2024
  • Last Update Date: 02/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0244768752
  • Enrollment ID: I20250113000533

Medical Identifiers

Medical identifiers for Crystalle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003631334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife MW010839 (Pennsylvania)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. Crystalle Johnson allows following entities to bill medicare on her behalf.
Entity NameMain Line Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922077643
PECOS PAC ID: 1951215201
Enrollment ID: O20040308000373

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. Crystalle 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 AddressPractice Location Address
Crystalle Johnson, CNM
3803 W Chester Pike Ste 160,
Newtown Square, PA 19073-2336

Ph: (484) 337-1632		Crystalle Johnson, CNM
1098 W Baltimore Pike, Suite 3106 Rhc 3,
Media, PA 19063-5139

Ph: (610) 891-6240

Reviews and Comments


Advanced Practice Midwife Nurses in Media, PA

Saskia Nadja Dulin, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1098 W Baltimore Pike Ste 3106, Media, PA 19063
Phone: 610-891-6240    
Mrs. Katie Achtert, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1098 W Baltimore Pike Ste 3109, Media, PA 19063
Phone: 484-443-2880    
Ashley Susan Cautillo, MSN CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 1098 W Baltimore Pike Ste 3106, Media, PA 19063
Phone: 610-891-6240    
Melissa Landon, CRNP
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 1098 W Baltimore Pike, Suite 3106, Riddle Health Center 3, Media, PA 19063
Phone: 610-891-6240    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.