Janessa Johnson
Individual provider Active NPI Certified Registered Nurse Anesthetist · Saginaw, MI
NPI 1124663281 · NPPES record last updated Sep 1, 2022
Key facts
- NPI
- 1124663281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 4704330684 (MI)
- Practice address
- 1447 N Harrison St
Saginaw, MI 48602-4727 - Phone
- (989) 583-0000
- NPI assigned
- Nov 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Hospital & facility affiliations 12
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Covenant Medical Center, Inc.
Practice addresses (Care Compare)
1447 N Harrison St
Saginaw, MI 48602-4727
Phone (989) 583-6237
Hospital & facility affiliations
- Covenant Medical Center
- Scheurer Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220908000503 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5395129498 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704330684 | MI | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covenant Medical Center, Inc. | Single Specialty | Current |
Accepting new patients |
| Scheurer Hospital | Current |
Accepting new patients | |
| Scheurer Hospital | Single Specialty | Current |
Accepting new patients |
| Scheurer Hospital | Current |
Accepting new patients | |
| Scheurer Hospital | Single Specialty | Current |
Accepting new patients |
| Covenant Medical Center, Inc | Single Specialty | Current |
Accepting new patients |
| Scheurer Hospital | Past | Accepting new patients |
Locations
170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4704330684 | MI | |
| Certified Registered Nurse Anesthetist |
367500000X | 4704330684 | MI | Yes |
Addresses
Primary practice location
1447 N Harrison St
Saginaw, MI 48602-4727
Mailing address
9512 Barkley Rd
Millington, MI 48746-9761
Other providers in Saginaw, MI
- Dorina Johnson
- Elizabeth Johnson
- Givanni Johnson
- Hayleigh Lynn Johnson
- Henry Steve Johnson
- Jasmine Johnson
- Jeffrey Aaron Johnson
- Jennifer Marie-Smith Johnson
- John Brian Johnson
- Kayla Sue Johnson
All providers in Saginaw, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.