Individual provider Active NPI

Johannes Jack Bartley, CRNA

  • Certified Registered Nurse Anesthetist
  • Portland, ME
National Provider Identifier
1194217281
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RNA203060 Issued in ME
Practice address
22 Bramhall St
Portland, ME 04102-3134
Phone
(801) 910-1089
NPI assigned
Jun 4, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 RNA203060 ME Primary
Certified Registered Nurse Anesthetist 367500000X 113592-23 NH

Addresses

Primary practice location

22 Bramhall St
Portland, ME 04102-3134

Mailing address

22 Bramhall St
Portland, ME 04102-3134

Other practice location 1

789 Central Ave
Dover, NH 03820-2526
Phone (603) 609-6819

Other identifiers 1

IdentifierTypeStateIssuer
3151131MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201125001650 ME Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799196697 Reassigns benefits to 7 organizations
I20260126000931 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 5799196697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
York HospitalGroup PAC ID 6406766781, 202 clinicians
Mercy HospitalGroup PAC ID 6103737812, 307 clinicians
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321

155 Rover River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

16 Hospital Dr
York, ME 03909-1011
Phone (207) 351-3715

175 Fore River Pkwy
Portland, ME 04102-2779
Phone (207) 879-3000

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

40 Park Rd
Westbrook, ME 04092-3188
Phone (207) 857-8174

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
60.7
Promoting interoperability
91
Improvement activities
40
Cost
73.8

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RNA203060MEMDCertified Registered Nurse Anesthetist
113592-23NHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital CurrentSince Nov 6, 2022 Accepting new patients
Bridgton Hospital CurrentSince Apr 12, 2025 Accepting new patients
York Hospital CurrentSince Sep 1, 2025 Accepting new patients
Central Maine Medical Center CurrentSince Aug 23, 2022 Accepting new patients
Rumford Hospital CurrentSince Apr 12, 2025 Accepting new patients
Rumford Hospital CurrentSince Apr 12, 2025 Accepting new patients
Bridgton Hospital CurrentSince Apr 12, 2025 Accepting new patients
Mercy Hospital CurrentSince Nov 6, 2022 Accepting new patients
Central Maine Medical Center CurrentSince Aug 23, 2022 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 26, 2026 Accepting new patients
Wentworth Douglass Physician Corporation CurrentSince Jan 26, 2026 Accepting new patients
Mount Desert Island Hospital Past Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

67 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 431-5529

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1194217281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "801-910-1089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "789 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "NH",
            "postal_code": "038202526",
            "country_code": "US",
            "telephone_number": "603-609-6819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTLEY",
        "first_name": "JOHANNES",
        "middle_name": "JACK",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-04",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "RNA203060",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NH",
            "license": "113592-23",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3151131",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.