Individual provider Active NPI

Michelle Dawn Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Kennewick, WA
National Provider Identifier
1083945695
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61626468 Issued in WA
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

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address asc.kennewick.p1@direct.pcli.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, ID3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230317000658 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921472705 Reassigns benefits to 2 organizations
I20241127003623 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921472705 Reassigns benefits to 3 organizations
I20250502001975 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 8921472705 Reassigns benefits to 1 organization

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 PCGroup PAC ID 7517864119, shared by 15 NPIs, 75 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

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 Hospital, Richland, WA, CCN 500058
  • Trios Health Hospital, Kennewick, WA, CCN 500053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
753692TXMDCertified Registered Nurse Anesthetist
AP118882TXMDCertified Registered Nurse Anesthetist
AP61626468WAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Jan 13, 2025 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 CurrentSince May 15, 2025 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Apr 24, 2025 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 12, 2024 Accepting new patients
Pacific Cataract and Laser Institute, Inc., P.C. CurrentSince Jan 13, 2025 Accepting new patients
Pacific Cataract and Laser Institute Inc PC Current Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2023 Accepting new patients
Austin Gastroenterology Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 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

  • Direct secure messaging: asc.kennewick.p1@direct.pcli.nextgenshare.com
  • Direct secure messaging: 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.

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": "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.

Verify at the official NPI Registry.