JOHANNES JACK BARTLEY CRNA
NPI 1194217281
Nurse Anesthetist, Certified Registered in Portland, ME

Q: What is Johannes Bartley's NPI number?

The NPI number for Johannes Bartley is 1194217281. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Q: What is Johannes Bartley'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 Johannes Bartley was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since June 04, 2018Accepts Medicare Assignment

22 BRAMHALL ST, PORTLAND, ME 04102(801) 910-1089 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2026, Feb 9, 2022, Nov 13, 2020 and 1 more (4 updates tracked since 2020).

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About Johannes Jack Bartley Crna NPPES

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

JOHANNES JACK BARTLEY CRNA (NPI 1194217281) is an individual nurse anesthetist, certified registered in Portland, Maine, licensed in Maine (RNA203060) and active in the NPI registry since June 2018. He is affiliated with Northern Light Health, maintains a secondary practice location in Dover, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194217281

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJOHANNES JACK BARTLEYCredential: CRNA

Location Address22 BRAMHALL STPortland, ME 04102-3134

Mailing Address22 Bramhall StPortland, ME 04102-3134

Phone(801) 910-1089

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 4, 2018

Last NPPES UpdateJanuary 15, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2026

✔ NPI 1194217281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code367500000X

Licenses✔ Licensed in ME · RNA203060✔ Licensed in NH · 113592-23

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.

22 BRAMHALL ST, Portland, ME 04102

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Secondary Practice Location 1

Location 1789 Central AveDover, NH 03820-2526 · Phone (603) 609-6819

Other Identifiers 1

Medicaid3151131NH

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

Johannes Jack Bartley 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 ID5799196697

PECOS Enrollment IDI20201125001650

Areas of Expertise CMS Part B claims 2

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 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.

24 services24 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Northern Light Health

Acute Care Hospitals · Portland, ME

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number200008

Location144 State StreetPortland, ME 04101 · Cumberland County

Emergency services Birthing friendly

York Hospital

Acute Care Hospitals · York, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200020

Location15 Hospital DriveYork, ME 03909 · York County

Emergency services Birthing friendly

Central Maine Medical Center

Acute Care Hospitals · Lewiston, ME

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200024

Location300 Main StreetLewiston, ME 04240 · Androscoggin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$70.13 typical visit price

range $18.22 – $138.92

Typical copayment $17.53 (range $4.55 – $34.73)

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.

ABBY LYNN LABRECQUE PA-C

Physician Assistant (Medical)