Active NPI
Gregory J Johnson
- Certified Registered Nurse Anesthetist
- Mount Pleasant, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11020093
- Practice address
- 3801 Spring St
Mount Pleasant, WI 53405 - Phone
- (262) 687-4011
- NPI assigned
- Aug 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 243351-30 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11020093 | FL | Primary |
Addresses
Primary practice location
3801 Spring St
Mount Pleasant, WI 53405
Mailing address
PO Box 322
Port Sanilac, MI 48469-0322
Phone (810) 300-8595
Other practice location 1
2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 737-7733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4392
Hospital & facility affiliations
- Mease Countryside Hospital
- Ascension All Saints Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243351-30 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Racine Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Jupiter Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Partners Services, S.C. | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Jupiter Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Current | Accepting new patients | |
| Laboratory Corportation of America Holdings | Past | Accepting new patients |
Locations
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
2140 W 68th St
Hialeah, FL 33016
Phone (305) 822-4107
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
460 N State Road 7
Royal Palm Beach, FL 33411
Phone (561) 792-7333
900 Carillon Pkwy
Ste 205
St Petersburg, FL 33716
Phone (727) 561-2710
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
2044 Trinity Oaks Blvd
Ste 130
Trinity, FL 34655
Phone (727) 375-0601
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
2600 Bruce B Downs Blvd
Zephyrhills, FL 33544
Phone (954) 393-5000
2801 W Kinnickinnic River Pkwy
Ste 1080
Milwaukee, WI 53215
Phone (414) 908-6506
88948 Box
Milwaukee, WI 53288
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040
Organizations & group practices 14
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.
-
- Anesthesiology Physician
- Mount Pleasant, WI
- NPI 1467782748
Nurse Anesthetist, Certified Registered
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1861810947
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1700073848
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
-
- Anesthesiology Physician
- Safety Harbor, FL
- NPI 1528630795
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1760054019
-
- Anesthesiology Physician
- Fort Lauderdale, FL
- NPI 1811569080
-
- Anesthesiology Physician
- Jupiter, FL
- NPI 1003581398
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- West Palm Beach, FL
- NPI 1275105710
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
- General Acute Care Hospital
- Clearwater, FL
- NPI 1265419907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656115200000",
"number": "1477031557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"city": "PORT SANILAC",
"state": "MI",
"postal_code": "484690322",
"telephone_number": "810-300-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 SPRING ST",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "53405",
"telephone_number": "262-687-4011"
}
],
"practiceLocations": [
{
"address_1": "2815 S Seacrest Blvd",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334357969",
"country_code": "US",
"telephone_number": "561-737-7733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "GREGORY",
"middle_name": "J",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-01",
"last_updated": "2022-06-25",
"certification_date": "2022-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "243351-30",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11020093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Pleasant, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2022; 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.