DR. MARIO JOHNSON CRNA
NPI 1396261905
Nurse Anesthetist, Certified Registered in Memphis, TN

Q: What is Mario Johnson's NPI number?

The NPI number for Mario Johnson is 1396261905. It was assigned to this individual provider in the NPPES registry on August 15, 2017.

Q: What is Mario Johnson'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 Mario Johnson was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 15, 2017Accepts Medicare Assignment

1417 MONROE AVE, MEMPHIS, TN 38104(901) 272-7200(901) 272-0821 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Jan 27, 2023, Jan 6, 2022 and 2 more (5 updates tracked since 2017).

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About Dr. Mario Johnson Crna NPPES

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

DR. MARIO JOHNSON CRNA (NPI 1396261905) is an individual nurse anesthetist, certified registered in Memphis, Tennessee, licensed in Florida (APRN11043007) and active in the NPI registry since August 2017. He is affiliated with Broward Health Imperial Point, maintains a secondary practice location in Carbondale, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1396261905

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDR. MARIO JOHNSONCredential: CRNA

Location Address1417 MONROE AVEMemphis, TN 38104-3634

Mailing Address3121 Steeplegate DrGermantown, TN 38138-7745

Phone(901) 272-7200

Fax(901) 272-0821

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 15, 2017

Last NPPES UpdateNovember 18, 20255 updates tracked since enumeration

NPPES CertifiedNovember 18, 2025

✔ NPI 1396261905 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

Licenses✔ Licensed in FL · APRN11043007✔ Licensed in TN · 26516✔ Licensed in IL · 209016529

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 ListedAnesthesiologyTaxonomy 207L00000X · License 114648 (TN)

1417 MONROE AVE, Memphis, TN 38104

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Secondary Practice Location 1

Location 11239 E Main StCarbondale, IL 62901-3175 · Phone (618) 549-0721 ext. 65799

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Dr. Mario 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.

PECOS PAC ID1759647886

PECOS Enrollment IDI20171107000019, I20220407000239, I20251209004092

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.

19 services19 patients

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Broward Health Imperial Point

Acute Care Hospitals · Fort Lauderdale, FL

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100200

Location6401 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260110

Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County

Emergency services Birthing friendly

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260191

Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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 14

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

MRS. DAPHNE B BEECH FNP

Nurse Practitioner (Family)