MR. TIMOTHY BART JOHNSON CRNA
NPI 1588764583
Nurse Anesthetist, Certified Registered in Broken Bow, NE

NPI Status: Active since September 22, 2006

Contact Information

79568 SUMNER ROAD
BROKEN BOW, NE
ZIP 68822
Phone: (308) 872-2294
Fax: (308) 872-6272

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  • Individual
  • Male
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance

About TIMOTHY JOHNSON

This page provides the complete NPI Profile along with additional information for Timothy Johnson, a provider established in Broken Bow, Nebraska with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1588764583 assigned on September 2006. The practitioner's primary taxonomy code is 367500000X with license number 100588 (NE). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1588764583
Provider Name
MR. TIMOTHY BART JOHNSON CRNA
Gender
Male
Entity Type
Individual
Location Address
79568 SUMNER ROAD BROKEN BOW, NE 68822
Location Phone
(308) 872-2294
Location Fax
(308) 872-6272
Mailing Address
79568 SUMNER ROAD BROKEN BOW, NE 68822
Mailing Phone
(308) 872-2294
Mailing Fax
(308) 872-6272
Is Sole Proprietor?
Yes
Enumeration Date
09-22-2006
Last Update Date
07-08-2007
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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.
100588
License State
NE
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO
  • Medica with CHI Health Bronze $0 Copay PCP Visits - EPO
  • Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam - EPO
  • Medica with CHI Health Bronze Premier - EPO
  • Medica with CHI Health Bronze Premier + Adult Eye Exam - EPO
  • Medica with CHI Health Bronze Share - EPO
  • Medica with CHI Health Bronze Share + Adult Eye Exam - EPO
  • Medica with CHI Health Expanded Bronze Standard - EPO
  • Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam - EPO
  • Medica with CHI Health Gold $0 Copay PCP Visits - EPO
  • Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam - EPO
  • Bronze Classic - EPO
  • Bronze Classic | with Bryan Health - EPO
  • Bronze Classic 4700 - EPO
  • Bronze Classic Standard - EPO
  • Bronze Classic Standard | with Bryan Health - EPO
  • Bronze Elite + PCP Saver Plus - EPO
  • Bronze Elite + PCP Saver Plus | with Bryan Health - EPO
  • Bronze Simple Diabetes - EPO
  • Bronze Simple Diabetes | with Bryan Health - EPO
  • Gold Classic Standard - EPO
  • Gold Classic Standard | with Bryan Health - EPO
  • Gold Elite - EPO
  • Gold Elite | with Bryan Health - EPO
  • Secure - EPO
  • Silver Classic - EPO
  • Silver Classic Standard - EPO
  • Silver Classic Standard | with Bryan Health - EPO
  • Silver Simple Diabetes - EPO
  • Silver Simple Diabetes | with Bryan Health - EPO
  • Silver Simple PCP Saver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588764583, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 1 + 4 + 6 + 8 + 5 + 1 + 6 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1588764583.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588764583, enumerated as an "individual" on September 22, 2006.

The provider is located at 79568 SUMNER ROAD BROKEN BOW, NE 68822 and the phone number is (308) 872-2294.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Medica and Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.