Individual provider Active NPI

Michael W Johnston, CRNA

  • Certified Registered Nurse Anesthetist
  • Austin, TX
National Provider Identifier
1215909577
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R158787-8 Issued in MN
Practice address
8310 N Capital of Texas Hwy
Suite 350
Austin, TX 78731-1011
Phone
(512) 342-2382
Fax
(512) 342-2878
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R158787-8 MN Primary

Addresses

Primary practice location

8310 N Capital of Texas Hwy
Suite 350
Austin, TX 78731-1011

Mailing address

12421 Gun Metal Dr
Austin, TX 78739-4825
Phone (512) 292-3243

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924002836 NV Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618919846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt General HospitalGroup PAC ID 5193709798, shared by 5 NPIs, 41 clinicians

Practice addresses (Care Compare)

118 E Haskell St
Winnemucca, NV 89445-3247
Phone (775) 623-5222

Hospital & facility affiliations

  • Humboldt General Hospital Hospital, Winnemucca, NV, CCN 291308

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R158787-8MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt General Hospital CurrentSince Aug 1, 2021 Accepting new patients
Humboldt General Hospital Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Humboldt General Hospital Current Accepting new patients
South Austin Anesthesiology, PA Past Accepting new patients
Capital Imaging Association Past Accepting new patients

Locations

118 E Haskell St
Winnemucca, NV 89445
Phone (775) 623-5222

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215909577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12421 GUN METAL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787394825",
            "telephone_number": "512-292-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 N CAPITAL OF TEXAS HWY",
            "address_2": "SUITE 350",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311011",
            "telephone_number": "512-342-2382",
            "fax_number": "512-342-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MICHAEL",
        "middle_name": "W",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R158787-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.