LISA R. JOHNSON CRNA
NPI 1164795993
Nurse Anesthetist, Certified Registered in Saint Louis, MO
About Lisa R. Johnson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA R. JOHNSON CRNA (NPI 1164795993) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (2024007274) and active in the NPI registry since February 2012. She is affiliated with Grady Memorial Hospital, maintains a secondary practice location in Conyers, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Lisa R. 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Grady Memorial Hospital
Acute Care Hospitals · Atlanta, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63131 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT LOUIS, MO 63131
SAINT LOUIS, MO 63131
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 Lisa Johnson's NPI number?
The NPI number for Lisa Johnson is 1164795993. It was assigned to this individual provider in the NPPES registry on February 9, 2012.
Where is Lisa Johnson located?
Lisa Johnson practices at 3015 N Ballas Rd, Saint Louis, MO 63131. The listed phone number is (314) 996-5000.
What is Lisa Johnson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Lisa Johnson enrolled in Medicare?
Yes. Lisa 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.
Is Lisa Johnson affiliated with any hospitals?
According to CMS data, Lisa Johnson is affiliated with Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Lisa Johnson was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lisa R. Johnson, CRNA · NPI 1164795993
Nurse Anesthetist, Certified Registered physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since February 9, 2012.
## Identity
- **NPI:** 1164795993 (Entity type: Individual)
- **Enumerated:** February 9, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 2024007274 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3015 N BALLAS RD, Saint Louis, MO 63131-2329
- **Phone:** (314) 996-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 16, 2024
- **Other identifiers:** Medicaid 1164795993 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164795993) · Data from the CMS NPPES public registry.