Individual provider Active NPI

James R Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Kerrville, TX
National Provider Identifier
1053426320
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
680914 Issued in TX
Practice address
575 Hill Country Dr Ste 101
Kerrville, TX 78028-6024
Phone
(830) 258-7828
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 680914 TX Primary

Addresses

Primary practice location

575 Hill Country Dr Ste 101
Kerrville, TX 78028-6024

Mailing address

575 Hill Country Dr
Kerrville, TX 78028-6024

Other identifiers 1

IdentifierTypeStateIssuer
366863401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161230001552 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810989258 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

5330 N Loop 1604
San Antonio, TX 78249-4383
Phone (469) 863-9978

575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090

7211 Preston Rd
Suite 2100
Plano, TX 75024-0258
Phone (469) 303-0104

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
680914TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Medical Associates CurrentSince Jan 1, 2023 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Uvalde County Hospital Authority CurrentSince Oct 10, 2024 Accepting new patients
Uvalde County Hospital Authority CurrentSince Oct 10, 2024 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2021 Accepting new patients
Orthomed Staffing LLC CurrentSince Aug 11, 2024 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients

Locations (25 of 32)

112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720

110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006

138 Old San Antonio Rd
Ste 400
Boerne, TX 78006
Phone (210) 442-9977

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

12850 Toepperwein Rd
Live Oak, TX 78233
Phone 2106141234713

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

1919 Rogers Rd
Ste 102
San Antonio, TX 78251
Phone (210) 267-8000

9618 Huebner Rd
Ste 111
San Antonio, TX 78240
Phone (210) 942-0999

710 Knights Cross Dr
San Antonio, TX 78258
Phone (210) 934-5471

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

1927 Rogers Rd
San Antonio, TX 78251
Phone (205) 263-7863

6427 Old Babcock Rd
Ste 100
San Antonio, TX 78240
Phone (210) 704-0465

19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

9522 Huebner Rd
San Antonio, TX 78240
Phone (210) 478-5390

5223 Hamilton Wolfe Rd
San Antonio, TX 78229
Phone 2106141234713

5255 Prue Rd
Ste 100
San Antonio, TX 78240
Phone (210) 384-2129

502 Madison Oak Dr
Ste 500
San Antonio, TX 78258
Phone (210) 499-6700

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1053426320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HILL COUNTRY DR",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 HILL COUNTRY DR STE 101",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286024",
            "telephone_number": "830-258-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "680914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366863401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.