Roy Steven Johnson, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Olla, LA
NPI 1962493601 · NPPES record last updated Nov 24, 2025
Key facts
- NPI
- 1962493601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 035542 (LA)
- Practice address
- 1102 N Pine Rd
Olla, LA 71465-4804 - Phone
- (318) 495-3131
- Fax
- (318) 495-0749
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lasalle Parish Hospital Service Dist No1
Practice addresses (Care Compare)
1102 N Pine Rd
Olla, LA 71465-4804
Phone (318) 495-3131
Hospital & facility affiliations
- Hardtner Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040915000434 | LA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 5496722712 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035542 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lasalle Parish Hospital Service Dist No1 | Current |
Accepting new patients | |
| Melanie C. Firmin, MD Apmc | Past | Accepting new patients | |
| Lasalle Hospital Service Dist #1 | Past | Accepting new patients |
Locations
1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 035542 | LA | Yes |
Addresses
Primary practice location
1102 N Pine Rd
Olla, LA 71465-4804
Mailing address
148 Ronald Blvd
Lafayette, LA 70503-2738
Phone (337) 852-3160
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1905127 | Medicaid | LA |
Other providers in Olla, LA
- Hardtner Medical Center
- Hardtner Medical Center
- Hardtner Medical Center
- Tyler Kennedy Hinson
- Carli Prudhomme Johnson
- Kenneth P. Mauterer MD a Medical Corp
- Lasalle Hospital Service Dist #1
- Lasalle Hospital Service District #1
- Lasalle Parish Hospital Service Dist No1
- Lasalle Parish Hospital Service District #1
All providers in Olla, LA · Certified Registered Nurse Anesthetist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.