MARY ALICE JOHNSON CRNA
NPI 1417085705
Nurse Anesthetist, Certified Registered in Green Bay, WI

Active since March 01, 2007
1726 SHAWANO AVE, GREEN BAY, WI 54303(920) 498-4200 Get Directions Write a Review

NPPES record last updated: July 21, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Alice Johnson Crna NPPES

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

MARY ALICE JOHNSON CRNA (NPI 1417085705) is an individual nurse anesthetist, certified registered in Green Bay, Wisconsin, licensed in Wisconsin (033282) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1417085705
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY ALICE JOHNSONCredential: CRNA
Location Address1726 SHAWANO AVEGreen Bay, WI 54303-3216
Mailing Address225 S Executive DrBrookfield, WI 53005-4266 · (262) 787-4026
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 21, 2010
NPI 1417085705 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
License Licensed in WI · 033282
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 ListedRegistered NurseTaxonomy 163W00000X · License 66618-30 (WI)
1726 SHAWANO AVE, Green Bay, WI 54303

Other Names 1

Former Name (1)Mary Alice Madsen Crna

Other Identifiers 2

Medicaid43316600WI
Medicare ID-Type Unspecified0006-07855WI · Provider Number

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.

Anesthesiology
1726 SHAWANO AVE
GREEN BAY, WI 54303
Anesthesiology
1726 SHAWANO AVE
GREEN BAY, WI 54303
Anesthesiology
1726 SHAWANO AVE
GREEN BAY, WI 54303
Hospitalist
1726 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine (Gastroenterology)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Pathology (Anatomic Pathology & Clinical Pathology)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Hospitalist
1726 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine (Gastroenterology)
1726 SHAWANO AVE
GREEN BAY, WI 54303

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 Mary Alice Johnson's NPI number?

The NPI number for Mary Alice Johnson is 1417085705. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Mary Alice Johnson located?

Mary Alice Johnson practices at 1726 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 498-4200.

What is Mary Alice Johnson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Mary Alice Johnson was last updated on July 21, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.