LARRY W JOHNSON CRNA
NPI 1255370995
Nurse Anesthetist, Certified Registered in Duluth, MN
About Larry W Johnson Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARRY W JOHNSON CRNA (NPI 1255370995) is an individual nurse anesthetist, certified registered in Duluth, Minnesota, licensed in Minnesota (R113631-3) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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 (PECOS)
Larry W Johnson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Larry Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 clinicians in this Medicare group
Aurora, MN 55705
- Reassigned Medicare billing, Minnesota enrollment
- 136 clinicians in this Medicare group
Walker, MN 56484
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: St Marys Regional Health Center
- 254 clinicians in this Medicare group
Fosston, MN 56542
- Reassigned Medicare billing, Minnesota enrollment
- 82 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 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.
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 Larry Johnson's NPI number?
The NPI number for Larry Johnson is 1255370995. It was assigned to this individual provider in the NPPES registry on June 6, 2006.
Where is Larry Johnson located?
Larry Johnson practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-4150.
What is Larry Johnson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Larry Johnson enrolled in Medicare?
Yes. Larry Johnson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Larry Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larry Johnson reassigns Medicare benefits to 4 organizations: The Duluth Clinic, Ltd (Duluth, MN), Northern Pines Medical Center (Aurora, MN), St Mary's Regional Health Center (Walker, MN) and First Care Medical Services (Fosston, MN). 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 Larry Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Larry Johnson accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Larry 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.
When was this NPI record last updated?
The NPPES record for Larry Johnson was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Larry W Johnson, CRNA · NPI 1255370995
Nurse Anesthetist, Certified Registered physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since June 6, 2006.
## Identity
- **NPI:** 1255370995 (Entity type: Individual)
- **Enumerated:** June 6, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R113631-3 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E 3RD ST, Duluth, MN 55805-1951
- **Phone:** (218) 786-4150
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Duluth Clinic, Ltd (NPI 1245278209, Duluth, MN); Northern Pines Medical Center (NPI 1881954147, Aurora, MN); St Mary's Regional Health Center (NPI 1558607408, Walker, MN); First Care Medical Services (NPI 1497850119, Fosston, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2011
- **Other identifiers:** Medicaid 509162400 (MN); Medicare PIN 430004591 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1255370995) · Data from the CMS NPPES public registry.