Active NPI
Raven Simone Johnson, MD
- Anesthesiology Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D96164
- Practice address
- 1800 Orleans St
Baltimore, MD 21287-0010 - Phone
- (410) 955-7615
- NPI assigned
- Mar 28, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D96164 | MD | Primary |
| Anesthesiology Physician | 207L00000X | MD491237C | PA | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | D96164 | MD |
Addresses
Primary practice location
1800 Orleans St
Baltimore, MD 21287-0010
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
90 Medical Park Dr
Lewisburg, PA 17837-6343
Phone (570) 524-2722
Other practice location 2
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-2000
Other practice location 3
55 Monument Rd
York, PA 17403-5023
Phone (717) 812-6425
Other practice location 4
25 Monument Rd Ste 270
York, PA 17403-5073
Phone (717) 741-8250
Other practice location 5
1001 S George St
York, PA 17403-3676
Phone (717) 812-7687
Other practice location 6
501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-3425
Other practice location 7
252 S 4th St
Lebanon, PA 17042-6111
Phone (717) 270-7500
Other practice location 8
35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 690-0811
Other practice location 9
4150 Barrett Blvd
Ephrata, PA 17522-8979
Phone (717) 859-5160
Other practice location 10
835 5th Ave
Chambersburg, PA 17201-4220
Phone (717) 217-4312
Other practice location 11
12 St Paul Dr Ste 100
Chambersburg, PA 17201-1035
Phone (717) 217-6072
Other practice location 12
112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 267-7164
Other practice location 13
169 Martin Aveunue
Ephrata, PA 17522-1734
Phone (717) 733-0311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, PA, DC, FL, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264
210 JPM Rd
Lewisburg, PA 17837-9367
Phone (570) 522-4299
25 Monument Rd
York, PA 17403-5073
4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100
600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000
600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.31 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D96164 | MD | MD | Critical Care Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Anesthesiology | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| First Colonies Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Evangelical Medical Services Organization | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
1800 Orleans St
Baltimore, MD 21287
Phone (410) 502-2037
1800 Orleans St
#6220
Baltimore, MD 21287
Phone (410) 955-7609
600 N Wolfe St
Baltimore, MD 21287
10400 Little Patuxent Pkwy
Ste 240
Columbia, MD 21044
Phone (321) 422-7110
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770
11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770
8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688
12 St Paul Dr
Ste 100
Chambersburg, PA 17201
Phone (717) 217-6072
835 5th Ave
Chambersburg, PA 17201
Phone (717) 217-4312
112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300
169 Martin Ave
Ephrata, PA 17522
Phone (717) 733-0311
4150 Barrett Blvd
Ephrata, PA 17522
Phone (717) 738-5648
35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785
252 S 4th St
Lebanon, PA 17042
Phone (717) 270-7500
1 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2000
90 Medical Park Dr
Lewisburg, PA 17837
Phone (570) 524-1213
25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
1001 S George St
York, PA 17403
Phone (717) 812-7687
55 Monument Rd
York, PA 17403
Phone (717) 741-5257
Interoperability endpoints
- rjohnson494686@wellspan.direct-ci.com
- rjohnson694645@direct.hopkinsmedicine.org
Organizations & group practices 11
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.
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
dba WellSpan Behavioral Health
- Surgery Physician
- Lewisburg, PA
- NPI 1205928967
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1821815010
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba WellSpan Urology
- Urology Physician
- Lewisburg, PA
- NPI 1083412084
-
dba WellSpan Anesthesiology
- Anesthesiology Physician
- Lewisburg, PA
- NPI 1205206943
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
dba WellSpan Urgent Care
- Urgent Care Clinic/Center
- Greencastle, PA
- NPI 1588360010
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1790700904
-
dba Johns Hopkins Bayview Care Center
- Chronic Disease Hospital
- Baltimore, MD
- NPI 1336251412
-
dba WellSpan Evangelical Community Hospital
- General Acute Care Hospital
- Lewisburg, PA
- NPI 1124076039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1164983334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 ORLEANS ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212870010",
"telephone_number": "410-955-7615"
}
],
"practiceLocations": [
{
"address_1": "90 Medical Park Dr",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178376343",
"country_code": "US",
"telephone_number": "570-524-2722",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "PA",
"postal_code": "178379350",
"country_code": "US",
"telephone_number": "570-522-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Monument Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035023",
"country_code": "US",
"telephone_number": "717-812-6425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25 Monument Rd Ste 270",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035073",
"country_code": "US",
"telephone_number": "717-741-8250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174033676",
"country_code": "US",
"telephone_number": "717-812-7687",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682353",
"country_code": "US",
"telephone_number": "717-765-3425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "252 S 4th St",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-270-7500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "35 Erick Rd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176013111",
"country_code": "US",
"telephone_number": "717-690-0811",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4150 Barrett Blvd",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175228979",
"country_code": "US",
"telephone_number": "717-859-5160",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "835 5th Ave",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172014220",
"country_code": "US",
"telephone_number": "717-217-4312",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 St Paul Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011035",
"country_code": "US",
"telephone_number": "717-217-6072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 N 7th St",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011720",
"country_code": "US",
"telephone_number": "717-267-7164",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Martin Aveunue",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221734",
"country_code": "US",
"telephone_number": "717-733-0311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "RAVEN",
"middle_name": "SIMONE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2025-08-22",
"certification_date": "2025-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D96164",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD491237C",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "MD",
"license": "D96164",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.