Individual provider Active NPI

Luke Alan Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Lincoln, NE
National Provider Identifier
1134491160
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
101182 Issued in NE
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20120329000886 NE Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800056763 Reassigns benefits to 3 organizations

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 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64373NEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Specialties, P.C. CurrentSince Jan 16, 2023 Accepting new patients
Beatrice Community Hospital & Health Center Inc CurrentSince Dec 1, 2025 Accepting new patients
Saunders Medical Center Past Accepting new patients
Lincoln Digestive Health Center LLC PastSince Jan 16, 2023 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

  • FHIR API: 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.

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": "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.

Verify at the official NPI Registry.