Individual provider Active NPI

Walter Erin Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Pensacola, FL
National Provider Identifier
1538466321
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
9239050 Issued in FL
Practice address
1000 W Moreno St
Pensacola, FL 32501-2316
Phone
(850) 434-4011
NPI assigned
Feb 14, 2011
Last updated
Feb 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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 9239050 FL Primary

Addresses

Primary practice location

1000 W Moreno St
Pensacola, FL 32501-2316

Mailing address

2371 La Lar LN
Pensacola, FL 32534-9561
Phone (850) 516-0788

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181001002746 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507041936 Reassigns benefits to 3 organizations
I20230807003993 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507041936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Anesthesia Solutions LLCGroup PAC ID 9931594942, 21 clinicians

Practice addresses (Care Compare)

110 S Main St
Hiawassee, GA 30546-3408
Phone (423) 639-0941

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (423) 639-0941

3990 E US 64 Alt
Murphy, NC 28906-6843
Phone (423) 639-0941

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7211NCMDSpeech-Language Pathologist
9239050FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Union General Affiliated Services, LLC CurrentSince Apr 1, 2020 Accepting new patients
Innovative Anesthesia Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Union County Hospital Authority CurrentSince Jul 23, 2018 Accepting new patients
Union County Hospital Authority CurrentSince Jul 23, 2018 Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
Chatuge Regional Hospital Inc Past Accepting new patients
Union General Affiliated Services, LLC Past Accepting new patients

Locations

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

5005 Lanier Islands Pkwy
Ste B
Buford, GA 30518

1240 Jesse Jewell Pkwy SE
Ste 250
Gainesville, GA 30501
Phone (678) 541-5552

103 Church St
Hiawassee, GA 30546
Phone (706) 896-4602

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

3990 US Highway 64 E
Murphy, NC 28906
Phone (828) 837-5939

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1297641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1538466321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2371 LA LAR LN",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325349561",
            "telephone_number": "850-516-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012316",
            "telephone_number": "850-434-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "WALTER",
        "middle_name": "ERIN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-14",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "9239050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.