Individual provider Active NPI

Casey J Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Enid, OK
National Provider Identifier
1518917574
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
217424 Issued in OK
Practice address
600 S Monroe St
Enid, OK 73701-7211
Phone
(580) 402-2261
Fax
(405) 758-5582
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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 217424 OK Primary

Addresses

Primary practice location

600 S Monroe St
Enid, OK 73701-7211

Mailing address

PO Box 6112
Enid, OK 73702-6112

Other identifiers 2

IdentifierTypeStateIssuer
14538057OtherCAQH
201246930AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OK, AR3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20061116000387 ID Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618877879 Reassigns benefits to 4 organizations
I20240423004587 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618877879 Reassigns benefits to 1 organization
I20250129001244 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618877879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia of Enid LLCGroup PAC ID 5193823631, 12 clinicians

Practice addresses (Care Compare)

600 S Monroe St
Enid, OK 73701-7211
Phone (580) 233-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
217424OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
St Alphonsus Professional Medical Services LLC CurrentSince Feb 6, 2024 Accepting new patients
Anesthesia of Enid LLC CurrentSince Apr 15, 2024 Accepting new patients
Boise Anesthesia, P a Nurse Anesthetist, Certified Registered CurrentSince Mar 3, 2023 Accepting new patients
St Alphonsus Professional Medical Services LLC CurrentSince Feb 6, 2024 Accepting new patients
St Joseph Hospital LLC CurrentSince Aug 21, 2019 Accepting new patients
Anesthesia Associates of Coeur D Alene PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 25, 2006 Accepting new patients
Renew Medical Group of Arkansas LTD Nurse Anesthetist, Certified Registered CurrentSince Jan 14, 2025 Accepting new patients
Helping Hands Chiropractic and Wellness Center Past Accepting new patients
Anesthesiology Group Associates Inc Past Accepting new patients

Locations

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

2708 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-3030

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

415 6th St
Lewiston, ID 83501
Phone (208) 750-7445

821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

Organizations & group practices 9

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 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1518917574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6112",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737026112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MONROE ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017211",
            "telephone_number": "580-402-2261",
            "fax_number": "405-758-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "CASEY",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "217424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14538057",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201246930A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.