TYLER MICHAEL JOHNSTON CRNA
NPI 1073284436
Nurse Anesthetist, Certified Registered in Plymouth, MN

Q: What is Tyler Johnston's NPI number?

The NPI number for Tyler Johnston is 1073284436. It was assigned to this individual provider in the NPPES registry on September 24, 2021.

Q: What is Tyler Johnston's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Johnston was last updated on January 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 24, 2021Accepts Medicare Assignment

14700 28TH AVE N STE 20, PLYMOUTH, MN 55447(763) 559-3779(763) 450-3986 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2022, Sep 24, 2021 (2 updates tracked since 2021).

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About Tyler Michael Johnston Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER MICHAEL JOHNSTON CRNA (NPI 1073284436) is an individual nurse anesthetist, certified registered in Plymouth, Minnesota, licensed in Minnesota (2662) and active in the NPI registry since September 2021. He is affiliated with M Health Fairview Woodwinds Hospital and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073284436

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameTYLER MICHAEL JOHNSTONCredential: CRNA

Location Address14700 28TH AVE N STE 20Plymouth, MN 55447-4876

Mailing AddressPo Box 47159Plymouth, MN 55447-0159 · (763) 559-3779 · Fax (763) 450-3986

Phone(763) 559-3779

Fax(763) 450-3986

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 24, 2021

Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration

NPPES CertifiedDecember 14, 2021

✔ NPI 1073284436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MN · 2662

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

14700 28TH AVE N STE 20, Plymouth, MN 55447

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tyler Michael Johnston Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123419470

PECOS Enrollment IDI20211222000801

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

20 services20 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

12 services12 patients

Anesthesia for extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

11 services11 patients

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731

This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240213

Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55447 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER WILLIAM COLEMAN

Anesthesiology