Individual provider Active NPI

Jeffery Warren Johnston

  • Certified Registered Nurse Anesthetist
  • Austin, TX
National Provider Identifier
1376909820
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP130099 Issued in TX
Practice address
8140 N Mopac Expy Ste 3-210
Austin, TX 78759-8862
Phone
(512) 343-2745
Fax
(512) 343-2745
NPI assigned
Jan 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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 AP130099 TX Primary

Addresses

Primary practice location

8140 N Mopac Expy Ste 3-210
Austin, TX 78759-8862

Mailing address

8140 N Mopac Expy Ste 3-210
Austin, TX 78759-8862
Phone (512) 343-2745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160421001865 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092014282 Reassigns benefits to 3 organizations
I20231120002940 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092014282

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians
University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr Dr
El Paso, TX 79902-5005
Phone (915) 747-4000

6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 633-5555

Hospital & facility affiliations

  • Ut of Texas Southwestern University Hospital - William P. Clements Jr. Hospital, Dallas, TX, CCN 450044
  • The Hospitals of Providence - East Campus Hospital, El Paso, TX, CCN 670047

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7247NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2016 Accepting new patients
BHS Physicians Network, Inc CurrentSince Sep 27, 2024 Accepting new patients
Catawba Valley Medical Center Current Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince Apr 1, 2016 Accepting new patients
Catawba Valley Medical Center CurrentSince Nov 27, 2023 Accepting new patients
Catawba Valley Medical Center CurrentSince Nov 27, 2023 Accepting new patients
BHS Physicians Network, Inc CurrentSince Sep 27, 2024 Accepting new patients

Locations

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

8140 N Mopac Expy
Ste 3210
Austin, TX 78759
Phone (512) 343-2292

8140 N Mopac Expy
Bldg 3
Austin, TX 78759
Phone (512) 343-2292

8140 N Mopac Expy
#3
Austin, TX 78759
Phone (512) 343-2292

1625 Medical Center Dr
El Paso, TX 79902
Phone (915) 577-7746

2001 N Oregon St
El Paso, TX 79902
Phone (915) 577-6011

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

Organizations & group practices 8

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 2

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": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1376909820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 N MOPAC EXPY STE 3-210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598862",
            "telephone_number": "512-343-2745",
            "fax_number": "512-343-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 N MOPAC EXPY STE 3-210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598862",
            "telephone_number": "512-343-2745",
            "fax_number": "512-343-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "JEFFERY",
        "middle_name": "WARREN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-13",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP130099",
            "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 Sep 30, 2024; 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.