Active NPI
Jill Anne Johnson, CRNA
- Certified Registered Nurse Anesthetist
- Gulf Breeze, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP9237672
- Practice address
- 1330 Autumn Breeze Cir
Gulf Breeze, FL 32563-3721 - Phone
- (850) 288-1998
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP9237672 | FL | Primary |
Addresses
Primary practice location
1330 Autumn Breeze Cir
Gulf Breeze, FL 32563-3721
Mailing address
1330 Autumn Breeze Circle
Gulf Breeze, FL 32563-6943
Phone (850) 288-1998
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009935331 | Medicaid | AL | |
| G3901 | Other | FL | BCBS |
| 307317300 | Medicaid | FL | |
| 59183488 | Other | AL | BCBS |
| 59183489 | Other | AL | BCBS |
Other names 1
- Ms. Jill Anne Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9237672 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Austin Anesthesiology Group, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams of Gulf Breeze LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Austin Anesthesiology Group PLLC | Current | Accepting new patients | |
| Ams Baptist LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Florida Gulf Coast Anesthesia, LLC | Current | Accepting new patients | |
| The Presbyterian Hospital | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Health Care Partners of Florida Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Lake Norman Anesthesia Associates | Past | Accepting new patients | |
| Crescent City Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011
9400 University Pkwy
Ste 102
Pensacola, FL 32514
Phone (850) 208-6300
4724 N Davis Hwy
Pensacola, FL 32503
Phone (850) 444-4716
9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000
1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
Organizations & group practices 10
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
- Pensacola, FL
- NPI 1376812032
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1093020216
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1013522325
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
-
- Anesthesiology Physician
- Orlando, FL
- NPI 1518915545
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Metairie, LA
- NPI 1205888484
Nurse Anesthetist, Certified Registered
-
- Specialist
- Mooresville, NC
- NPI 1386753457
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1487626933
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
- Gulf Breeze, FL
- NPI 1972664530
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356134400000",
"number": "1780636100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 AUTUMN BREEZE CIRCLE",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325636943",
"telephone_number": "850-288-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 AUTUMN BREEZE CIR",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325633721",
"telephone_number": "850-288-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JILL",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2012-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP9237672",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009935331",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G3901",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "307317300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "59183488",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "59183489",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "JOHNSON",
"middle_name": "ANNE",
"prefix": "MS.",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2012; 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.