Crystalle Johnson, CNM
Advanced Practice Midwife in Media, PA. Individual provider (NPI-1).
NPI number1003631334
StatusActive
Last updated in NPPESFeb 19, 2025
Details
- NPI
- 1003631334
- Entity type
- Individual (NPI-1)
- Name
- Crystalle Johnson
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 21, 2024
- Certification date
- Feb 19, 2025
- Last updated
- Feb 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED NURSE MIDWIFE (CNM)
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | MW010839 | PA | Yes |
Practice location
1098 W Baltimore PikeSuite 3106 Rhc 3
Media, PA 19063-5139
Phone 610-891-6240
Mailing address
3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336
Phone 484-337-1632
Other practice locations
1068 W Baltimore Pike # 3106
Media, PA 19063-5104
Media, PA 19063-5104
Phone 610-891-6240
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Advanced Practice Midwife providers in Media, PA
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All 9 Advanced Practice Midwife providers in Media · All 1,911 providers in Media
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