RYAN CHARLES JOHNSON CRNA
NPI 1104330281
Nurse Anesthetist, Certified Registered in Tulsa, OK
About Ryan Charles Johnson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN CHARLES JOHNSON CRNA (NPI 1104330281) is an individual nurse anesthetist, certified registered in Tulsa, Oklahoma, licensed in Oklahoma (100733) and active in the NPI registry since November 2017. He is affiliated with Oklahoma Surgical Hospital, Llc and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ryan Charles Johnson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Ryan Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 128 clinicians in this Medicare group
Jenks, OK 74037
- Reassigned Medicare billing, Oklahoma enrollment
- 199 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Oklahoma Surgical Hospital, LLC
Acute Care Hospitals · Tulsa, OKAscension St John Broken Arrow
Acute Care Hospitals · Broken Arrow, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
TULSA, OK 74136
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ryan Johnson's NPI number?
The NPI number for Ryan Johnson is 1104330281. It was assigned to this individual provider in the NPPES registry on November 27, 2017.
Where is Ryan Johnson located?
Ryan Johnson practices at 6839 S Canton Ave, Tulsa, OK 74136. The listed phone number is (918) 494-0612.
What is Ryan Johnson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Ryan Johnson enrolled in Medicare?
Yes. Ryan Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Ryan Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Johnson reassigns Medicare benefits to 2 organizations: Osh Aai PLLC (Tulsa, OK) and Integral Anesthesia, LLC (Jenks, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Johnson accept?
Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Ryan Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Ryan Johnson affiliated with any hospitals?
According to CMS data, Ryan Johnson is affiliated with Oklahoma Surgical Hospital, LLC and Ascension St John Broken Arrow.
When was this NPI record last updated?
The NPPES record for Ryan Johnson was last updated on January 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ryan Charles Johnson, CRNA · NPI 1104330281
Nurse Anesthetist, Certified Registered physician in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since November 27, 2017.
## Identity
- **NPI:** 1104330281 (Entity type: Individual)
- **Enumerated:** November 27, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 100733 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6839 S CANTON AVE, Tulsa, OK 74136-3402
- **Phone:** (918) 494-0612
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Osh Aai PLLC (NPI 1205170461, Tulsa, OK); Integral Anesthesia, LLC (NPI 1881041515, Jenks, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 30, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104330281) · Data from the CMS NPPES public registry.