Individual provider Active NPI

James Johnson, CRNA

  • Certified Registered Nurse Anesthetist
  • Elk City, OK
National Provider Identifier
1790755254
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0082560 Issued in OK
Practice address
1705 W 2ND St
Elk City, OK 73644-4455
Phone
(580) 225-2511
NPI assigned
Jan 25, 2006
Last updated
May 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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 R0082560 OK Primary

Addresses

Primary practice location

1705 W 2ND St
Elk City, OK 73644-4455

Mailing address

PO Box 48483
Wichita, KS 67201-8483
Phone (316) 685-6236

Other identifiers 3

IdentifierTypeStateIssuer
200060570AMedicaidOK
53764799001OtherOKBCBS
P00258327OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20051019001017 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880679794 Reassigns benefits to 2 organizations
I20211124001510 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880679794 Reassigns benefits to 4 organizations
I20250903001702 AR Practitioner - Certified Registered Nurse Anesthetist (Crna) 4880679794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Clinical Colleagues KS PAGroup PAC ID 3870921984, 44 clinicians

Practice addresses (Care Compare)

10512 N 110TH E Ave
Bailey Med Ctr
Owasso, OK 74055-6636
Phone (918) 376-8000

200 Commodore St
Pratt, KS 67124-2903
Phone (620) 450-1335

5602 SW Lee Blvd
Southwest Medical Center
Lawton, OK 73505-9635
Phone (580) 355-8620

620 N Mail St
Harrison, AR 72601-2911

620 N Main St
Second Floor
Harrison, AR 72601-2911
Phone (870) 414-4000

620 N Willow
Harrison, AR 72601-2994
Phone (870) 414-4000

629 S Plummer Ave
Chanute, KS 66720-1928
Phone (850) 985-9180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.28 of 100Reported as group
Quality
21.69
Improvement activities
40
Cost
71.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0082560OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Labette County Medical Center CurrentSince Jan 29, 2024 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Jun 21, 2025 Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
Labette County Medical Center Current Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 21, 2024 Accepting new patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Nov 11, 2024 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Jun 21, 2025 Accepting new patients
US Anesthesia Partners of Kansas PA Nurse Anesthetist, Certified Registered CurrentSince Nov 5, 2021 Accepting new patients
Labette County Medical Center CurrentSince Jan 29, 2024 Accepting new patients
Western Oklahoma Anesthesia Consultants PLLC CurrentSince Jan 1, 2018 Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Roswell Hospital Corporation Past Accepting new patients
Hastings Anesthesiology Associates PC PastSince Jan 21, 2004 Accepting new patients

Locations

620 N Main St
#2
Harrison, AR 72601
Phone (870) 414-4000

620 N Willow St
Harrison, AR 72601
Phone (870) 365-2000

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400

401 E Spruce St
Garden City, KS 67846
Phone (620) 272-2222

1902 S US Highway 59
Parsons, KS 67357
Phone (620) 421-4880

1902 S US Highway 59
Bldg A
Parsons, KS 67357
Phone (620) 421-2460

200 Commodore St
Pratt, KS 67124
Phone (620) 672-6476

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

10512 N 110th East Ave
Owasso, OK 74055
Phone (918) 272-1172

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

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

View all 14

Hospital & facility affiliations 7

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1790755254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48483",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672018483",
            "telephone_number": "316-685-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W 2ND ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444455",
            "telephone_number": "580-225-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JAMES",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0082560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200060570A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "53764799001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00258327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.