MARY ALICE JOHNSON CRNA
NPI 1417085705
Nurse Anesthetist, Certified Registered in Green Bay, WI
NPI Status: Active since March 01, 2007
Contact Information
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
Phone: (920) 498-4200
- Individual
- Female
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
About MARY ALICE JOHNSON
This page provides the complete NPI Profile along with additional information for Mary Alice Johnson, a provider established in Green Bay, Wisconsin with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1417085705 assigned on March 2007. The practitioner's primary taxonomy code is 367500000X with license number 033282 (WI). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1417085705
- Provider Name
- MARY ALICE JOHNSON CRNA
- Other Name
- MARY ALICE MADSEN CRNA
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1726 SHAWANO AVE GREEN BAY, WI 54303
- Location Phone
- (920) 498-4200
- Mailing Address
- 225 S EXECUTIVE DR BROOKFIELD, WI 53005
- Mailing Phone
- (262) 787-4026
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-01-2007
- Last Update Date
- 07-21-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 033282
- License State
- WI
- Taxonomy Description
- (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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 66618-30 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 43316600 | MEDICAID (05) | WI | |
| 0006-07855 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | PROVIDER NUMBER |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 1 | 7 | 0 | 8 | 5 | 7 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 0 | 8 | 10 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 0 + 8 + 1 + 0 + 7 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1417085705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. THOMAS M. FARLEY M.D.
Anesthesiology
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
GEETHA S. MURTHY M.D., S.C.
Anesthesiology
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
AMERICA'S ANESTHESIOLOGIST, S.C.
Anesthesiology
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
KENNETH JOHN HUJET MD
Hospitalist
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
MARK ALAN LAUKKA MD
Internal Medicine
(Gastroenterology)
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
ROBERT THOMAS CUTLAN MD
Pathology
(Anatomic Pathology & Clinical Pathology)
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
TANGEE NOEL SINCLAIR MD
Hospitalist
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
ROLAND BERNHARD CHRISTIAN MD
Internal Medicine
(Gastroenterology)
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
PAUL R HOLZMAN MD
Pathology
(Anatomic Pathology & Clinical Pathology)
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
PETER DZWONKOWSKI MD
Internal Medicine
(Gastroenterology)
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
ROBERT JOSEPH MURPHY MD
Pathology
(Anatomic Pathology & Clinical Pathology)
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
KAREN M VAN BEEK APNP
Registered Nurse
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
MR. MICHAEL JOHN TOUSIGNANT CRNA
Nurse Anesthetist, Certified Registered
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
GEETHA MURTHY M.D.
Anesthesiology
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
SARA A EHLERT PHYSICAL THERAPIST
Physical Therapist
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
MR. MARTIN EDWARD SCHWEINER CRNA
Nurse Anesthetist, Certified Registered
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
MRS. NANCY JANE WHITFIELD RN, MSN
Clinical Nurse Specialist
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
CINDY L PELNAR RD
Dietitian, Registered
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
ISSAKA O NSIAH MD
Hospitalist
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
COMMUNITY MEMORIAL HOSPITAL, INCORPORATED
Surgery
1726 SHAWANO AVE
GREEN BAY, WI
ZIP 54303
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417085705, enumerated as an "individual" on March 01, 2007.
The provider is located at 1726 SHAWANO AVE GREEN BAY, WI 54303 and the phone number is (920) 498-4200.
Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
