Individual provider Active NPI

Michael Johnson Jr., CRNA

  • Certified Registered Nurse Anesthetist
  • Houma, LA
National Provider Identifier
1073906475
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP08147 Issued in LA
Practice address
8166 Main St
Houma, LA 70360-3404
Phone
(985) 873-4141
NPI assigned
Mar 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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 AP08147 LA Primary

Addresses

Primary practice location

8166 Main St
Houma, LA 70360-3404

Mailing address

30 Amarillo Dr
Houma, LA 70360-7286

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505001851 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0042539546 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dpi of Louisiana LLCGroup PAC ID 1456886365, 72 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

17000 Medical Ctr Dr
Baton Rouge, LA 70816-3246
Phone (225) 752-2470

200 W Esplanade Ave
Ochsner Clinic Kenner Mob
Kenner, LA 70065-2489
Phone (504) 842-4000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2023 Accepting new patients
Anesthesia Associates of Bayou Region LLC Nurse Anesthetist, Certified Registered CurrentSince May 25, 2021 Accepting new patients
Physician Practice Partners Nurse Anesthetist, Certified Registered CurrentSince Feb 5, 2017 Accepting new patients
Dpi of Louisiana LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 28, 2022 Accepting new patients
University Medical Center Management Corporation CurrentSince May 1, 2022 Accepting new patients
Diversified Professionals, Inc. CurrentSince Aug 12, 2017 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jul 1, 2023 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 22, 2018 Accepting new patients
Ochsner Clinic LLC CurrentSince Oct 28, 2022 Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Oct 20, 2017 Accepting new patients
University Medical Center Management Corporation CurrentSince May 1, 2022 Accepting new patients

Locations (25 of 46)

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

7145 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 765-3111

7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

4407 Highway 190 East Service Rd
Ste 200
Covington, LA 70433
Phone (985) 234-9700

1234 Pinnacle Pkwy
Covington, LA 70433
Phone (985) 200-1213

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

191 Innovation Ct
Ste A
Gray, LA 70359
Phone (985) 303-4050

42107 Veterans Ave
Hammond, LA 70403
Phone (504) 419-1884

3704 Lapalco Blvd
Harvey, LA 70058
Phone (504) 207-5320

402 Dunn St
Houma, LA 70360
Phone (985) 872-1661

218 Corporate Dr
Houma, LA 70360
Phone (985) 853-1390

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

3717 Houma Blvd
Ste 300
Metairie, LA 70006
Phone (504) 456-1515

4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203

2520 Harvard Ave
Ste 2A
Metairie, LA 70001
Phone (504) 378-3668

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

Interoperability endpoints

  • Direct secure messaging: mjohnson407962@direct.ochsner.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1073906475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AMARILLO DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703607286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8166 MAIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603404",
            "telephone_number": "985-873-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP08147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.