Active NPI
Luke Alan Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 101182
- Practice address
- 6911 Van Dorn St
Suite # 2
Lincoln, NE 68506-6801 - Phone
- (402) 489-4186
- Fax
- (402) 489-5279
- NPI assigned
- Feb 7, 2012
- Last updated
- Mar 15, 2012
- Sex
- Male
- 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 | 101182 | NE | Primary |
| Registered Nurse | 163W00000X | 64373 | NE |
Addresses
Primary practice location
6911 Van Dorn St
Suite # 2
Lincoln, NE 68506-6801
Mailing address
6911 Van Dorn St
Suite # 2
Lincoln, NE 68506-6801
Phone (402) 489-4186
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4800 Hospital Pkwy
Beatrice, NE 68310-6906
Phone (402) 228-3344
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64373 | NE | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Specialties, P.C. | Current | Accepting new patients | |
| Beatrice Community Hospital & Health Center Inc | Current | Accepting new patients | |
| Saunders Medical Center | Past | Accepting new patients | |
| Lincoln Digestive Health Center LLC | Past | Accepting new patients |
Locations
4800 Hospital Pkwy
Beatrice, NE 68310
Phone (402) 228-3344
1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049
3901 Pine Lake Rd
Ste 211
Lincoln, NE 68516
Phone (402) 421-2100
4545 R St
Ste 100
Lincoln, NE 68503
Phone (402) 465-4545
Interoperability endpoints
- https://498f20c3-8d5e-4c38-b37b-2e5c29e690f9.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 5
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.
-
- Critical Access Hospital
- Beatrice, NE
- NPI 1184642894
-
- Specialist
- Lincoln, NE
- NPI 1083747380
-
dba BCHHC Professional Services
- Emergency Medicine Physician
- Beatrice, NE
- NPI 1922111855
-
- Ambulatory Surgical Clinic/Center
- Lincoln, NE
- NPI 1548710775
-
- Rural Health Clinic/Center
- Wahoo, NE
- NPI 1467442244
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Beatrice, NE
- NPI 1184642894
-
- Critical Access Hospital
- Crete, NE
- NPI 1063463958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1134491160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6911 VAN DORN ST",
"address_2": "SUITE # 2",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685066801",
"telephone_number": "402-489-4186",
"fax_number": "402-489-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6911 VAN DORN ST",
"address_2": "SUITE # 2",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685066801",
"telephone_number": "402-489-4186",
"fax_number": "402-489-5279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "LUKE",
"middle_name": "ALAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-07",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NE",
"license": "101182",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "64373",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.