DR. MARIO JOHNSON CRNA
NPI 1396261905
Nurse Anesthetist, Certified Registered in Memphis, TN
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 enrolled in Medicare PECOS, is affiliated with Broward Health Imperial Point, and maintains a secondary practice location in Carbondale.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
10Medicare enrollment records show Mario Johnson reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Memphis, TN 38104
- Reassigned Medicare billing, Tennessee enrollment
- 34 clinicians in this Medicare group
Memphis, TN 38104
- Reassigned Medicare billing, Mississippi and Tennessee enrollments
- 124 clinicians in this Medicare group
Memphis, TN 38119
- Reassigned Medicare billing, Tennessee enrollment
- 132 clinicians in this Medicare group
Memphis, TN 38119
- Reassigned Medicare billing, Tennessee enrollment
- 99 clinicians in this Medicare group
Cape Girardeau, MO 63701
- Reassigned Medicare billing, Missouri enrollment
- 470 clinicians in this Medicare group
Saint Louis, MO 63136
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Midwest Anesthesia Providers Sc
- 230 clinicians in this Medicare group
Springfield, IL 62769
- Reassigned Medicare billing, Illinois enrollment
- 826 clinicians in this Medicare group
Knoxville, TN 37916
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: American Anesthesiology Of Tennessee PC
- 959 clinicians in this Medicare group
Pensacola, FL 32503
- Reassigned Medicare billing, Florida enrollment
- 1,973 clinicians in this Medicare group
Arlington, TX 76006
- Reassigned Medicare billing, Illinois enrollment
- 735 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 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.
Hospital Affiliations CMS Care Compare 5
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, FLHerrin Hospital
Acute Care Hospitals · Herrin, ILMemorial Hospital Of Carbondale
Acute Care Hospitals · Carbondale, ILMercy Hospital Southeast
Acute Care Hospitals · Cape Girardeau, MOBarnes-Jewish St Peters Hospital
Acute Care Hospitals · Saint Peters, MOPhysician 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.
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.
MEMPHIS, TN 38104
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 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.
Where is Mario Johnson located?
Mario Johnson practices at 1417 Monroe Ave, Memphis, TN 38104. The listed phone number is (901) 272-7200.
What is Mario Johnson's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mario Johnson enrolled in Medicare?
Yes. Mario 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 Mario Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mario Johnson reassigns Medicare benefits to 10 organizations: Phillip R. Bowden, M.D.,p.A. (Memphis, TN), Resource Anesthesiology Associates Of Tn PC (Memphis, TN), East Memphis Anesthesia Services Plc (Memphis, TN), Medical Anesthesia Group, PA (Memphis, TN), Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO) and 5 more organizations, listed in the Medicare section above. 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 Mario Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mario Johnson accept?
Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare, Oscar Health and Oscar Insurance Company list Mario 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 Mario Johnson affiliated with any hospitals?
According to CMS data, Mario Johnson is affiliated with Broward Health Imperial Point, Herrin Hospital, Memorial Hospital Of Carbondale, Mercy Hospital Southeast and Barnes-Jewish St Peters Hospital.
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 11 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.
# Dr. Mario Johnson, CRNA · NPI 1396261905
Nurse Anesthetist, Certified Registered physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since August 15, 2017.
## Identity
- **NPI:** 1396261905 (Entity type: Individual)
- **Enumerated:** August 15, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** APRN11043007 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1417 MONROE AVE, Memphis, TN 38104-3634
- **Phone:** (901) 272-7200 · **Fax:** (901) 272-0821
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Phillip R. Bowden, M.D.,p.A. (NPI 1932216389, Memphis, TN); Resource Anesthesiology Associates Of Tn PC (NPI 1316724073, Memphis, TN); East Memphis Anesthesia Services Plc (NPI 1578592663, Memphis, TN); Medical Anesthesia Group, PA (NPI 1679527501, Memphis, TN); Southeast Missouri Hospital Physicians, LLC (NPI 1558311522, Cape Girardeau, MO); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** November 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396261905) · Data from the CMS NPPES public registry.