Curtis N Johnson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Prairie Du Sac, WI
NPI 1023067246 · NPPES record last updated Aug 2, 2007
Key facts
- NPI
- 1023067246
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 112554 (WI)
- Practice address
- 80 1St St
Prairie Du Sac, WI 53578-1550 - Phone
- (608) 643-3311
- NPI assigned
- May 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sauk Prairie Healthcare Inc
Practice addresses (Care Compare)
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone (608) 643-7171
Hospital & facility affiliations
- Sauk Prairie Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040129001152 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4688577398 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2502 | WI | MD | Registered Dietitian |
| 112554 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sauk Prairie Healthcare, Inc. | Current |
Accepting new patients | |
| Sauk Prairie Healthcare Inc | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
Locations
260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471
80 1st St
Prairie du Sac, WI 53578
Phone (608) 643-3311
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 112554 | WI | Yes |
Addresses
Primary practice location
80 1St St
Prairie Du Sac, WI 53578-1550
Mailing address
80 1St St
Prairie Du Sac, WI 53578-1550
Phone (608) 643-3311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00095591 | Other | RAILROAD MEDICARE | |
| 44329500 | Medicaid | WI |
Other providers in Prairie Du Sac, WI
- Kristen Hoskins
- Tasha Rae Hughbanks
- Jay P Ironside
- Lisa A Jansen
- Colleen L Jarema
- Mary E Johnson
- Kenneth Gordon Kalinowski
- Christina L Karg
- Julie A Kastelitz
- Bryant Randall Kearney
All providers in Prairie Du Sac, WI · Certified Registered Nurse Anesthetist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.