Individual provider Active NPI

Jimmie Johnson II, CRNA

  • Certified Registered Nurse Anesthetist
  • Belton, TX
National Provider Identifier
1932162575
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
684289 Issued in TX
Practice address
501 Marshall Dr
Belton, TX 76513-3779
Phone
(254) 338-5473
Fax
(254) 613-4064
NPI assigned
Apr 6, 2006
Last updated
Nov 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 684289 TX Primary

Addresses

Primary practice location

501 Marshall Dr
Belton, TX 76513-3779

Mailing address

501 Marshall Dr
Belton, TX 76513-3779
Phone (254) 338-5473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000650 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810975422 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Seguin PLLCGroup PAC ID 4284620592, 24 clinicians

Practice addresses (Care Compare)

1738 E Common St
New Braunfels, TX 78130-6059
Phone (830) 643-8600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
684289TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Anesthesia Partners PLLC CurrentSince Dec 30, 2023 Accepting new patients
Anesthesia Associates of Seguin PLLC CurrentSince Sep 1, 2024 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
Palo Pinto County Hospital District CurrentSince Apr 22, 2009 Accepting new patients
Palo Pinto County Hospital District Nurse Anesthetist, Certified Registered CurrentSince Apr 22, 2009 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Jul 23, 2009 Accepting new patients
Palo Pinto County Hospital District Current Accepting new patients
M. Reza Mizani, M.D., P.a. Past Accepting new patients

Locations

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

10700 McPherson Rd
Laredo, TX 78045
Phone (956) 523-2068

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

1738 E Common St
New Braunfels, TX 78130
Phone (210) 705-5715

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

1215 E Court St
Seguin, TX 78155
Phone (830) 379-2411

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1932162575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765133779",
            "telephone_number": "254-338-5473",
            "fax_number": "254-613-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MARSHALL DR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765133779",
            "telephone_number": "254-338-5473",
            "fax_number": "254-613-4064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JIMMIE",
        "name_suffix": "II",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "684289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.