Individual provider Active NPI

Christopher Michael Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1508162330
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
259329 Issued in AZ
Practice address
1401 N 24TH St Ste 100
Phoenix, AZ 85008-4645
Phone
(602) 844-7246
NPI assigned
Jan 26, 2011
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R160790 MD
Certified Registered Nurse Anesthetist 367500000X 259329 AZ Primary
Registered Nurse 163W00000X R160790 MD

Addresses

Primary practice location

1401 N 24TH St Ste 100
Phoenix, AZ 85008-4645

Mailing address

14253 W West Wind Dr
Surprise, ARIZONA 85387
UM

Other practice location 1

14253 W West Wind Dr
Surprise, AZ 85387-7017
Phone (443) 846-6392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211112000964 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355525650 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asap Anesthesia LLCGroup PAC ID 7810301751, 4 clinicians

Practice addresses (Care Compare)

1401 N 24TH St
Suite 100
Phoenix, AZ 85008-4645
Phone (602) 844-7246

2525 W Greenway Rd
Suite 125
Phoenix, AZ 85023-4226
Phone (480) 573-0130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R160790MDMDRegistered Nurse
259329AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Sep 7, 2022 Accepting new patients
Z Pain LLC CurrentSince Nov 2, 2022 Accepting new patients
Grand Canyon Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2023 Accepting new patients
C Johnson Anesthesia Solutions Nurse Anesthetist, Certified Registered CurrentSince Jan 29, 2023 Accepting new patients
Sonoran Rising Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 2, 2022 Accepting new patients
Asap Anesthesia, LLC CurrentSince Jun 9, 2024 Accepting new patients
Newbridge Surgery Center at Prince Frederick, LLC Past Accepting new patients

Locations

560 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 774-3044

5656 S Power Rd
Gilbert, AZ 85295
Phone (480) 840-3733

18699 N 67th Ave
Ste 140
Glendale, AZ 85308
Phone (623) 376-8600

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

13555 W McDowell Rd
Ste 207
Goodyear, AZ 85395
Phone (623) 584-4882

2626 E University Dr
Ste 110
Mesa, AZ 85213
Phone (480) 526-5300

4838 E Baseline Rd
Bldg 2
Mesa, AZ 85206
Phone (480) 632-8919

1401 N 24th St
Ste 100
Phoenix, AZ 85008
Phone (602) 844-7246

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

2345 E Thomas Rd
Ste 400
Phoenix, AZ 85016
Phone (602) 343-2900

2525 W Greenway Rd
Ste 125
Phoenix, AZ 85023
Phone (480) 640-0513

9500 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 210-6106

15571 N Reems Rd
Bldg D
Surprise, AZ 85374
Phone (623) 887-9454

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1508162330",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "14253 W WEST WIND DR",
            "city": "SURPRISE",
            "state": "ARIZONA",
            "postal_code": "85387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N 24TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084645",
            "telephone_number": "602-844-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14253 W West Wind Dr",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853877017",
            "country_code": "US",
            "telephone_number": "443-846-6392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R160790",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "259329",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R160790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.