Benjamin Johnson, CRNA

Key facts

NPI

1376019778

Entity type

Individual (NPI type 1)

Primary specialty

Certified Registered Nurse Anesthetist 367500000X

License

APRN11000613 (FL)

Practice address

1200 7TH Ave N
St Petersburg, FL 33705-1300

Phone

(727) 825-1100

NPI assigned

Oct 23, 2018

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Greater Florida Anesthesiologists, LLC Anesthesiology Physician · St Petersburg, FL · NPI 1942519657
  Medicare reassignment Care Compare group NPD FL · NURSE ANESTHETIST, CERTIFIED REGISTERED
• Greater Florida Anesthesiologists, LLC Anesthesiology Physician · Safety Harbor, FL · NPI 1528630795
  NPD
• Greater Florida Anesthesiologists, LLC Anesthesiology Physician · Port St Lucie, FL · NPI 1760054019
  NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Anthonys Hospital, Inc. General Acute Care Hospital · St Petersburg, FL · NPI 1427024942
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greater Florida Anesthesiologists LLC (315 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Anthonys Hospital Hospital · Saint Petersburg, FL · CCN 100067

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 9, 2019.

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1376019778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 OLD HICKORY BLVD APT 927",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372095258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 7TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051300",
            "telephone_number": "727-825-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BENJAMIN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-23",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11000613",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R891524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL CRNA LICENSE",
            "identifier": "APRN11000613",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Luke Elhanan Johnsen, DO
• Deborah R Johnson-Eady, APRN
• Alexander Rd Johnson, M.D.
• Alicia Renae Johnson, M.S. LMFT
• Amy Johnson, CNM
• Darien Malik James Johnson
• David Carl Johnson, DDS
• David Porter Johnson, M.D.
• Denise Johnson, RN
• Felicia L Johnson

All providers in St Petersburg, FL · Certified Registered Nurse Anesthetist in Florida