Active NPI
James Johnsen
- Certified Registered Nurse Anesthetist
- Springfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 074650
- Practice address
- 1000 E Primrose St
Suite 520
Springfield, MO 65807-5154 - Phone
- (417) 269-4550
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- 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 | 074650 | MO | Primary |
Addresses
Primary practice location
1000 E Primrose St
Suite 520
Springfield, MO 65807-5154
Mailing address
1000 E Primrose St
Suite 520
Springfield, MO 65807-5154
Phone (417) 269-4550
Other practice location 1
29 NW 1st Ln
LaMar, MO 64759-8105
Phone (417) 681-5284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910898402 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
1605 Martin Springs Dr
Rolla, MO 65401-2982
Phone (417) 533-6059
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 403 | AK | MD | Mental Health Counselor |
| 074650 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Capital Anesthesia Solutions of Missouri, LLC | Current | Accepting new patients | |
| Cox-Monett Hospital, Inc. | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Clinical Colleagues Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ozark Anesthesia Associates, Inc. | Current | Accepting new patients | |
| Cox Barton County Hospital | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients |
Locations
29 NW 1st Ln
Lamar, MO 64759
Phone (417) 681-5266
1515 Union Ave
Moberly, MO 65270
Phone (660) 263-2400
1000 E US Highway 60
Monett, MO 65708
Phone (417) 354-1269
2620 N Westwood Blvd
Poplar Bluff, MO 63901
Phone (573) 686-4111
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
1000 E Primrose St
Ste 520
Springfield, MO 65807
Phone (417) 269-4557
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
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.
-
- Anesthesiology Physician
- Rombauer, MO
- NPI 1770185472
-
- Emergency Medicine Physician
- Lamar, MO
- NPI 1174166177
-
- Critical Access Hospital
- Monett, MO
- NPI 1194757500
-
- Emergency Medicine Physician
- Monett, MO
- NPI 1669687125
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Anesthesiology Physician
- Springfield, MO
- NPI 1831109586
-
- Anesthesiology Physician
- Van Wert, OH
- NPI 1992725766
MO, Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1871503540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E PRIMROSE ST",
"address_2": "SUITE 520",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075154",
"telephone_number": "417-269-4550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E PRIMROSE ST",
"address_2": "SUITE 520",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658075154",
"telephone_number": "417-269-4550"
}
],
"practiceLocations": [
{
"address_1": "29 NW 1st Ln",
"address_purpose": "LOCATION",
"city": "LaMar",
"state": "MO",
"postal_code": "647598105",
"country_code": "US",
"telephone_number": "417-681-5284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSEN",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "074650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "910898402",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.