Active NPI
Jeslyn A. Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Olathe, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 557027
- Practice address
- 20375 W 151St St
Suite 306
Olathe, KS 66061-5306 - Phone
- (913) 782-2292
- Fax
- (913) 782-2381
- NPI assigned
- Apr 28, 2011
- Last updated
- Mar 28, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 557027 | KS | Primary |
| Registered Nurse | 163W00000X | 96296 | KS |
Addresses
Primary practice location
20375 W 151St St
Suite 306
Olathe, KS 66061-5306
Mailing address
20375 W 151St St
Suite 306
Olathe, KS 66061-5306
Phone (913) 782-2292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200733680A | Medicaid | KS | |
| P00970186 | Other | KS | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10787 Nall Ave
Overland Park, KS 66211-1375
Phone (913) 385-4440
5525 W 119TH St
100 Mid America Surgery Institute
Overland Park, KS 66209-3723
Phone (913) 906-0855
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96296 | KS | MD | Registered Nurse |
| 557027 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Kansas City PA | Current | Accepting new patients | |
| Johnson County Anesthesiologists, Chartered | Past | Accepting new patients |
Locations
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
5525 W 119th St
Ste 100
Overland Park, KS 66209
Phone (913) 906-0837
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Overland Park, KS
- NPI 1174504732
-
- Certified Registered Nurse Anesthetist
- Overland Park, KS
- NPI 1104677566
-
- Certified Registered Nurse Anesthetist
- Overland Park, KS
- NPI 1104139534
-
- Pain Medicine (Anesthesiology) Physician
- Olathe, KS
- NPI 1215432307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395964800000",
"number": "1104117886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20375 W 151ST ST",
"address_2": "SUITE 306",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615306",
"telephone_number": "913-782-2292",
"fax_number": "913-782-2381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20375 W 151ST ST",
"address_2": "SUITE 306",
"city": "OLATHE",
"state": "KS",
"postal_code": "660615306",
"telephone_number": "913-782-2292",
"fax_number": "913-782-2381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JESLYN",
"middle_name": "A.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2014-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KS",
"license": "557027",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "96296",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200733680A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00970186",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olathe, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.