JESSE B JOHNSON CRNA
NPI 1619975455
Nurse Anesthetist, Certified Registered in Springdale, AR

Q: What is Jesse Johnson's NPI number?

The NPI number for Jesse Johnson is 1619975455. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Q: What is Jesse 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 Jesse Johnson was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 July 13, 2005

609 W MAPLE AVE, SPRINGDALE, AR 72764(479) 751-5711(479) 751-1099 Get Directions Write a Review

NPPES record last updated: October 30, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jesse B Johnson Crna NPPES

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

JESSE B JOHNSON CRNA (NPI 1619975455) is an individual nurse anesthetist, certified registered in Springdale, Arkansas, licensed in Arkansas (C001215) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1619975455

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameJESSE B JOHNSONCredential: CRNA

Location Address609 W MAPLE AVESpringdale, AR 72764-5335

Mailing AddressPo Box 583Lowell, AR 72745-0583 · (800) 475-6236 · Fax (903) 787-5854

Phone(479) 751-5711

Fax(479) 751-1099

Sole ProprietorNo

Enumeration DateJuly 13, 2005

Last NPPES UpdateOctober 30, 2024

NPPES CertifiedOctober 30, 2024

✔ NPI 1619975455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in AR · C001215✔ Licensed in TX · 621415

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.

609 W MAPLE AVE, Springdale, AR 72764

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Other Identifiers 4

Medicaid139829701AR

Other83751HTX · Blue Cross

Other98519AR · Blue Cross

Medicaid002959701TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse B Johnson Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Jesse Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Anesthesia Of Arkansas Professional Corporation

5.1 mi

Anesthesiology

3215 N NORTHHILLS BLVD
Fayetteville, AR 72703

Reassigned Medicare billing, Arkansas enrollment
185 clinicians in this Medicare group

NPI 1932519485 (404) 941-1210

Chase Placek Floyd Meggers

8.8 mi

Anesthesiology

3728 S PINNACLE HILLS PKWY
Rogers, AR 72758

Reassigned Medicare billing, Arkansas enrollment
26 clinicians in this Medicare group

NPI 1326125113 (479) 254-8508

Northstar Anesthesia, PA

289 mi

Anesthesiology

2000 E LAMAR BLVD, SUITE 400
Arlington, TX 76006

Reassigned Medicare billing, Texas enrollment
1,164 clinicians in this Medicare group

NPI 1912978610 (817) 861-3994

Youngs Professional Services LLC

447 mi

Nurse Anesthetist, Certified Registered

1100 ANDRE ST, SUITE 300
New Iberia, LA 70563

Reassigned Medicare billing, Arkansas enrollment
232 clinicians in this Medicare group

NPI 1922178599 (337) 364-9225

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 10

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 total hip replacement 01214

Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.

32 services31 patients

Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus) 64415

This procedure involves injecting a numbing agent or steroid into your arm's nerve bundle. It's done to manage pain or inflammation. The injection helps block nerve signals that cause discomfort, providing relief. It's a safe, common procedure.

28 services28 patients

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

27 services26 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

26 services26 patients

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810

Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.

19 services19 patients

Anesthesia for other procedure or exam of knee joint using an endoscope 01400

Anesthesia for a knee joint procedure or exam using an endoscope involves administering medication to numb the area or put you in a sleep-like state. This ensures you don't feel pain during the procedure. The endoscope, a thin tube with a camera, allows the doctor to view the knee joint internally without making large incisions.

17 services17 patients

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.

ROBI EVERT AZUCENA TIAMZON

Registered Nurse (Emergency)