Anthony Dean Johnson, C.R.N.A.

Individual provider Active NPI Certified Registered Nurse Anesthetist · Osage, IA

NPI 1922014026 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1922014026
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
D133341 (IA)
Practice address
616 N 8TH St
Osage, IA 50461-1456
Phone
(641) 732-6000
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

616 N 8TH St
Osage, IA 50461-1456

Hospital & facility affiliations

  • Mitchell County Regional Health Hospital · Osage, IA · CCN 161323

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200601000576 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173512258

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell County Memorial Hospital Nurse Anesthetist, Certified Registered Current
since Mar 1, 2020
Accepting new patients
University Anesthesiologists, PLLC Past Accepting new patients
Anesthesia and Pain Consultants,P.C. Nurse Anesthetist, Certified Registered Past
since Mar 1, 2000
Accepting new patients
Mayo Clinic Past Accepting new patients
Mayo Clinic Past Accepting new patients
University Anesthesiologists, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

616 N 8th St
Osage, IA 50461
Phone (641) 732-6000

Interoperability endpoints

  • Direct secure messaging: mi.mhn.him@direct.2.mycarefile.org
  • Direct secure messaging: anthony.johnson@direct.2.mycarefile.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X D133341 IA Yes

Addresses

Primary practice location

616 N 8TH St
Osage, IA 50461-1456

Mailing address

2129 332ND St
Osage, IA 50461-8583
Phone (865) 207-3195

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address MI.MHN.HIM@direct.2.mycarefile.org Direct
Direct Messaging Address Anthony.Johnson@direct.2.mycarefile.org Direct

Other providers in Osage, IA

All providers in Osage, IA · Certified Registered Nurse Anesthetist in Iowa

Sources for this page

Verify at the official NPI Registry.