Individual provider Active NPI

Cherron Michelle Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Jacksonville, FL
National Provider Identifier
1295755833
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
ARNP9165972 Issued in FL
Practice address
4348 Southpoint Blvd Ste 100
Jacksonville, FL 32216-0903
Phone
(904) 281-1915
Fax
(904) 281-1119
NPI assigned
Jul 19, 2006
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9165972 FL
Certified Registered Nurse Anesthetist 367500000X ARNP9165972 FL Primary

Addresses

Primary practice location

4348 Southpoint Blvd Ste 100
Jacksonville, FL 32216-0903

Mailing address

PO Box 850001
Dept 121
Orlando, FL 32885-0192
Phone (904) 282-6331

Other practice location 1

14444 Beach Blvd
Suite 307
Jacksonville Beach, FL 32250-2079
Phone (904) 223-6400

Other identifiers 1

IdentifierTypeStateIssuer
306873100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050924000003 FL Practitioner - Nurse Practitioner 1355375791 Reassigns benefits to 4 organizations
I20140227000015 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355375791 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians
HMV DiagnosticsGroup PAC ID 8123172020, 21 clinicians

Practice addresses (Care Compare)

110 N Lecanto Hwy
Lecanto, FL 34461-9190
Phone (352) 527-1825

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-6111

5304 Mile Stretch Dr
Holiday, FL 34690-6060
Phone (877) 202-1191

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Anesthesia Consultants, Inc. CurrentSince Aug 15, 2016 Accepting new patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
Rmed LLC CurrentSince Apr 20, 2020 Accepting new patients
Tranquil Anesthesiology LLC CurrentSince Apr 3, 2025 Accepting new patients
North Florida Anesthesia Consultants Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2016 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Jun 1, 2021 Accepting new patients
Amelia Anesthesia, PL CurrentSince Jul 27, 2015 Accepting new patients
Rmed LLC CurrentSince Apr 20, 2020 Accepting new patients
Overwatch Anesthesia Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2023 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Feb 19, 2018 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
University of Florida Jacksonville Physicians Inc CurrentSince Feb 2, 2024 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 19, 2018 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Feb 2, 2024 Accepting new patients
Quiescence Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 2, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Diagnostic Medical Testing Inc Past Accepting new patients
Mobile Medical Industries Inc Past Accepting new patients
Home Medical Visits, Inc Family Past Accepting new patients
Physicians Group Services PA Past Accepting new patients
Physicians Group Services PA Family Past Accepting new patients

Locations

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

6705 NW 10th Pl
Gainesville, FL 32605
Phone (352) 333-4555

1 Shircliff Way
Jacksonville, FL 32204
Phone (904) 332-0414

10475 Centurion Pkwy N
Ste 201
Jacksonville, FL 32256
Phone 90422333213118

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

4348 Southpoint Blvd
Ste 100
Jacksonville, FL 32216
Phone (904) 281-1087

5191 First Coast Tech Pkwy
Fl 1
Jacksonville, FL 32224
Phone (904) 593-5146

5191 First Coast Tech Pkwy
Fl 3
Jacksonville, FL 32224
Phone (904) 222-3332

368 NE Franklin St
Lake City, FL 32055
Phone (386) 292-8000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1780 N Mills Ave
Orlando, FL 32803
Phone (407) 426-8484

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

1879 Nightingale Ln
Ste A1
Tavares, FL 32778
Phone (352) 401-1919

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

15548 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 547-1654

Organizations & group practices 25

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.

View all 25

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1295755833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "address_2": "DEPT 121",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850192",
            "telephone_number": "904-282-6331",
            "fax_number": "904-282-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 SOUTHPOINT BLVD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160903",
            "telephone_number": "904-281-1915",
            "fax_number": "904-281-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14444 Beach Blvd",
            "address_2": "Suite 307",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322502079",
            "country_code": "US",
            "telephone_number": "904-223-6400",
            "fax_number": "904-223-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHERRON",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9165972",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9165972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "306873100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.