Andrew Timothy Johnson, RN

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

212932 Issued in OK

Practice address

5001 W 41St St
Sioux Falls, SD 57106-1424

Phone

(605) 362-0100

NPI assigned

Apr 25, 2023

Last updated

Nov 1, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integral Anesthesia LLCGroup PAC ID 9638461973, 159 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
• Ascension St John Broken Arrow Hospital, Broken Arrow, OK, CCN 370235

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Integral Anesthesia, LLC

  • Anesthesiology Physician
  • Jenks, OK
  • NPI 1881041515

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Northstar Anesthesia of Oklahoma, PLLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1043516628

  OK, Single Specialty

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St John Medical Center Inc

  • General Acute Care Hospital
  • Tulsa, OK
  • NPI 1154417368
  Care Compare affiliation
• St John Medical Center Inc

  • Rehabilitation Hospital Unit
  • Tulsa, OK
  • NPI 1578656161
  Care Compare affiliation
• St. John Broken Arrow, Inc

  dba Ascension St. John Jenks

  • General Acute Care Hospital
  • Broken Arrow, OK
  • NPI 1497988596
  Care Compare affiliation

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1962190207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S 62ND ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740146932",
            "telephone_number": "918-932-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 W 41ST ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061424",
            "telephone_number": "605-362-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANDREW",
        "middle_name": "TIMOTHY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-25",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "212932",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "R0117101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnson Chiropractic & Acupuncture
• Johnson Periodontics, Prof. LLC
• Diane Teresa Johnson-Mitchell, LPC-MH, QMHP
• Amber Marie Johnson, CNP
• Andrew C Johnson, DDS
• Angela Johnson, PHARMD, BCGP
• Annette Marie Johnson, PHARM.D.
• Becky Lee Johnson, MS LPC
• Benjamin David Johnson, DDS
• Bianca Johnson, MD

• Certified Registered Nurse Anesthetist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Certified Registered Nurse Anesthetist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.