Alyssa Johnston Registered Nursing, Inc.
NPI 1740922640 · Family Medicine Physician · Roseville, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alyssa Johnston Registered Nursing, Inc. is a Family Medicine Physician organization in Roseville, CA (NPI 1740922640).
Provider details
- NPI number
- 1740922640
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Keum, Attending Physician(770) 876-9602
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 125 Ascot Dr Ste BRoseville, CA 95661-3408Phone: (916) 633-2030
Registry dates
- Enumerated
- 2022-04-11
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Frequently asked questions
- What is Alyssa Johnston Registered Nursing, Inc.'s NPI number?
- Alyssa Johnston Registered Nursing, Inc.'s National Provider Identifier (NPI) is 1740922640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Alyssa Johnston Registered Nursing, Inc.?
- Alyssa Johnston Registered Nursing, Inc. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Alyssa Johnston Registered Nursing, Inc. located?
- Alyssa Johnston Registered Nursing, Inc.'s practice location on file with NPPES is 1814 Cirby Way Apt B, Roseville, CA 95661-5564.
- What is Alyssa Johnston Registered Nursing, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Alyssa Johnston Registered Nursing, Inc. is (770) 876-9602.
- Does Alyssa Johnston Registered Nursing, Inc. accept Medicare?
- Alyssa Johnston Registered Nursing, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Alyssa Johnston Registered Nursing, Inc.?
- The authorized official listed on Alyssa Johnston Registered Nursing, Inc.'s NPPES record is Jacob Keum, Attending Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Alyssa Johnston Registered Nursing, Inc.'s NPI active?
- Yes — Alyssa Johnston Registered Nursing, Inc.'s NPI (1740922640) is active in the NPPES registry as of the last update on 2022-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.