Individual provider Active NPI

Johnny R Peoples, CRNA

  • Certified Registered Nurse Anesthetist
  • Brenham, TX
National Provider Identifier
1154600609
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP142065 Issued in TX
Practice address
700 Medical Pkwy
Brenham, TX 77833-5413
Phone
(979) 337-5000
NPI assigned
Aug 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3009375 KY
Certified Registered Nurse Anesthetist 367500000X R791355 MS
Certified Registered Nurse Anesthetist 367500000X AP142065 TX Primary

Addresses

Primary practice location

700 Medical Pkwy
Brenham, TX 77833-5413

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800

Other practice location 1

719 W Coke Rd
Winnsboro, TX 75494-3011
Phone (903) 342-5227

Other practice location 2

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpeoples503150@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190730003936 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5496925323 Reassigns benefits to 2 organizations

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
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

105 -II Medical PLZ
Christus Trinity Clinic
Sulphur Springs, TX 75482-2105
Phone (903) 885-5439

115 Airport Rd
Sulphur Springs, TX 75482-2105
Phone (903) 885-7671

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

719 W Coke Rd
Christus Trinity Clinic
Winnsboro, TX 75494-3011
Phone (903) 342-5227

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236
  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince May 9, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 9, 2022 Accepting new patients
Mother Frances Hospital-Winnsboro CurrentSince May 9, 2022 Accepting new patients
Mother Frances Hospital-Winnsboro CurrentSince May 9, 2022 Accepting new patients
Lakeland Anesthesia, PLLC Nurse Anesthetist, Certified Registered PastSince May 9, 2011 Accepting new patients
Physicians Anesthesia Group, P.a. Past Accepting new patients
Mother Frances Hospital Winnsboro Past Accepting new patients

Locations

115 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 439-4052

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

719 W Coke Rd
Winnsboro, TX 75494
Phone (903) 342-3961

719 W Coke Rd
Ste 4
Winnsboro, TX 75494
Phone (903) 342-3760

Organizations & group practices 7

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1154600609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MEDICAL PKWY",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335413",
            "telephone_number": "979-337-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 W Coke Rd",
            "address_purpose": "LOCATION",
            "city": "Winnsboro",
            "state": "TX",
            "postal_code": "754943011",
            "country_code": "US",
            "telephone_number": "903-342-5227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822105",
            "country_code": "US",
            "telephone_number": "903-885-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEOPLES",
        "first_name": "JOHNNY",
        "middle_name": "R",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3009375",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R791355",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP142065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpeoples503150@direct.sw.org",
            "affiliation": "N",
            "address_1": "700 Medical Pkwy",
            "city": "Brenham",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778335413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.