Wayne Johnson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

100500 Issued in NE

Practice address

120 N 21St St
Ord, NE 68862-1320

Phone

(402) 699-0736

Fax

(402) 343-8765

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Memorial Community Hospital Corporation

  • Clinic/Center
  • Blair, NE
  • NPI 1285767236
  NPD (past)
• Professional Anesthesia Services LLP

  • Anesthesiology Physician
  • Omaha, NE
  • NPI 1497868137
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431475200000",
    "number": "1467566331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N 21ST ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621320",
            "telephone_number": "402-699-0736",
            "fax_number": "402-343-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 21ST ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621320",
            "telephone_number": "402-699-0736",
            "fax_number": "402-343-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WAYNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NE",
            "license": "100500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna A Hilker, ARNP
• Chelsea Hill
• Joyce Kathleen Hruby, LPN-C
• Cynthia K Jacoby
• Melody Dawn Johnson, SLP
• Jamie Klinginsmith
• Virginia L Knapp II, LMHP, CPC
• Sydney Kruml, COTA
• Jill Lane
• Kayla Rae Lane, PHARMD

• All providers in Ord, NE
• Certified Registered Nurse Anesthetist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.