Active NPI
Michelle Dawn Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP61626468
- Practice address
- 6695 W Rio Grande Ave
Kennewick, WA 99336-3301 - Phone
- (509) 736-0826
- NPI assigned
- Jan 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 753692 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP118882 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 753692 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | AP61626468 | WA | Primary |
Addresses
Primary practice location
6695 W Rio Grande Ave
Kennewick, WA 99336-3301
Mailing address
PO Box 1506
Chehalis, WA 98532-0409
Phone (360) 242-3008
Other practice location 1
Carl R. Darnall Army Medical Center
36000 Darnall Loop
Fort Hood, TX 76544
Phone (253) 973-8193
Other names 1
- Michelle Dawn Johnson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asc.kennewick.p1@direct.pcli.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA, ID
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Duke University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pacific Cataract and Laser Institute Inc PC
Practice addresses (Care Compare)
2822 S Vista Ave
Boise, ID 83705-4159
Phone (208) 385-7576
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000
6695 W Rio Grande Ave
Kennewick, WA 99336-3301
Phone (509) 736-0826
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611
Hospital & facility affiliations
- Kadlec Regional Medical Center
- Trios Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 753692 | TX | MD | Certified Registered Nurse Anesthetist |
| AP118882 | TX | MD | Certified Registered Nurse Anesthetist |
| AP61626468 | WA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute, Inc., P.C. | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Premier Anesthesia of Richland a Division of Premier Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pacific Cataract and Laser Institute, Inc., P.C. | Current | Accepting new patients | |
| Medstream Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pacific Cataract and Laser Institute, Inc., P.C. | Current | Accepting new patients | |
| Pacific Cataract and Laser Institute Inc PC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Austin Gastroenterology Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Pacific Cataract and Laser Institute, Inc., P.C. | Past | Accepting new patients |
Locations
2822 S Vista Ave
Boise, ID 83705
Phone (208) 385-7576
3330 4th St
Lewiston, ID 83501
Phone (208) 746-2025
4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444
8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519
8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519
3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909
1361 Hero Way
Ste 100
Leander, TX 78641
Phone (512) 371-1519
8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232
2606 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 462-7664
4330 Mitchell Way
Bellingham, WA 98226
Phone (360) 736-6860
2517 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 748-8632
6695 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 736-0826
900 S Auburn St
Kennewick, WA 99336
Phone (509) 586-5111
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
115 New View Ct NE
Olympia, WA 98506
Phone (360) 252-1642
520 N 4th Ave
Pasco, WA 99301
Phone (509) 544-6140
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
9598 Mickelberry Rd NW
Silverdale, WA 98383
Phone (360) 698-5062
16818 E Desmet Ct
Spokane Valley, WA 99216
Phone (360) 242-3008
2915 S Alder St
Tacoma, WA 98409
Phone (253) 473-0275
3900 Kern Rd
Yakima, WA 98902
Phone (509) 966-1356
Interoperability endpoints
- asc.kennewick.p1@direct.pcli.nextgenshare.com
- michelle.johnson.p1@direct.pcli.nextgenshare.com
Organizations & group practices 11
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.
-
- Anesthesiology Physician
- Richland, WA
- NPI 1013940253
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Richardson, TX
- NPI 1649616160
Nurse Anesthetist, Certified Registered, WA
-
- Ambulatory Surgical Clinic/Center
- Bellevue, WA
- NPI 1306013925
-
- Ambulatory Surgical Clinic/Center
- Chehalis, WA
- NPI 1114978848
ID
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Austin, TX
- NPI 1427405810
Nurse Anesthetist, Certified Registered
-
- Ambulatory Surgical Clinic/Center
- Vancouver, WA
- NPI 1659548329
-
- Ophthalmologic Surgery Clinic/Center
- Auburn, WA
- NPI 1528814647
-
- Ambulatory Surgical Clinic/Center
- Kennewick, WA
- NPI 1619144607
-
- Ambulatory Surgical Clinic/Center
- Boise, ID
- NPI 1275700957
-
- Ambulatory Surgical Clinic/Center
- Lacey, WA
- NPI 1215178835
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1083945695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1506",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985320409",
"telephone_number": "360-242-3008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6695 W RIO GRANDE AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993363301",
"telephone_number": "509-736-0826"
}
],
"practiceLocations": [
{
"address_1": "Carl R. Darnall Army Medical Center",
"address_2": "36000 Darnall Loop",
"address_purpose": "LOCATION",
"city": "Fort Hood",
"state": "TX",
"postal_code": "76544",
"country_code": "US",
"telephone_number": "253-973-8193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MICHELLE",
"middle_name": "DAWN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-21",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "753692",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP118882",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "753692",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WA",
"license": "AP61626468",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asc.kennewick.p1@direct.pcli.nextgenshare.com",
"affiliation": "N",
"address_1": "6695 W Rio Grande Ave",
"city": "Kennewick",
"state": "WA",
"country_code": "US",
"postal_code": "993363301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "JOHNSON",
"middle_name": "DAWN",
"credential": "CRNA",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.