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

NPI Status: Active since July 13, 2005

Contact Information

609 W MAPLE AVE
SPRINGDALE, AR
ZIP 72764
Phone: (479) 751-5711
Fax: (479) 751-1099

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

About JESSE JOHNSON

This page provides the complete NPI Profile along with additional information for Jesse Johnson, a provider established in Springdale, Arkansas with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1619975455 assigned on July 2005. The practitioner's primary taxonomy code is 367500000X with license number C001215 (AR). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1619975455
Provider Name
JESSE B JOHNSON CRNA
Gender
Male
Entity Type
Individual
Location Address
609 W MAPLE AVE SPRINGDALE, AR 72764
Location Phone
(479) 751-5711
Location Fax
(479) 751-1099
Mailing Address
PO BOX 583 LOWELL, AR 72745
Mailing Phone
(800) 475-6236
Mailing Fax
(479) 751-1099
Is Sole Proprietor?
No
Enumeration Date
07-13-2005
Last Update Date
10-30-2024
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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.
C001215
License State
AR
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)
1367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

621415 (TX)

Insurance Plans Accepted

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

  • Bronze Exp Standardized - PPO
  • Bronze Value - PPO
  • Catastrophic HSA - PPO
  • Gold Standardized - PPO
  • Gold Value - PPO
  • Silver AH - PPO
  • Silver Standardized - PPO
  • Dental Gold - PPO
  • Dental Gold Plus Vision - PPO
  • Dental Pediatric - PPO
  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • HA Bronze Exp Standardized - POS
  • HA Bronze National - POS
  • HA Gold Premier National - POS
  • HA Gold Standardized - POS
  • HA Platinum Premier National - POS
  • HA Platinum Standardized - POS
  • HA Silver AH - POS
  • HA Silver Standardized - POS
  • Octave Bronze Exp Standardized - POS
  • Octave Bronze Value - POS
  • Octave Gold Classic National - POS
  • Octave Gold Standardized - POS
  • Octave Silver AH - POS
  • Octave Silver Standardized - POS

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.

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
139829701MEDICAID (05)AR 
83751HOTHER (01)TXBLUE CROSS
98519OTHER (01)ARBLUE CROSS
002959701MEDICAID (05)TX 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope

This procedure involves using anesthesia to ensure comfort while a special instrument called an endoscope helps to locate, break up, and possibly remove kidney stones. The endoscope is a thin, flexible tube which is gently inserted and navigated to the area of concern.

This service was performed 11 times for 11 patients

Anesthesia for other procedure on urinary system through urethra

Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.

This service was performed 21 times for 21 patients

Anesthesia for removal of urinary bladder tumors including use of an endoscope

This procedure involves the use of anesthesia to ensure comfort while an endoscope, a thin tube with a light and camera, is used to identify and remove abnormal growths in the bladder. It's a minimally invasive approach to maintain bladder health.

This service was performed 11 times for 11 patients

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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 1619975455, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Unchanged
Pos 3
1
Doubled → 2
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 1 → 2 9 → 18 → 9 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 2 + 9 + 1 + 8 + 7 + 1 + 0 + 4 + 1 + 0 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1619975455.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
609 W MAPLE AVE
SPRINGDALE, AR 72764
Specialist
609 W MAPLE AVE
SPRINGDALE, AR 72764
Emergency Medicine
609 W MAPLE AVE
SPRINGDALE, AR 72764
Internal Medicine (Cardiovascular Disease)
609 W MAPLE AVE
SPRINGDALE, AR 72764
Emergency Medicine
609 W MAPLE AVE
SPRINGDALE, AR 72764
Emergency Medicine
609 W MAPLE AVE
SPRINGDALE, AR 72764
Physical Therapist (Pediatrics)
609 W MAPLE AVE
SPRINGDALE, AR 72764
Physical Therapist (Pediatrics)
609 W MAPLE AVE
SPRINGDALE, AR 72764
Physical Therapist (Pediatrics)
609 W MAPLE AVE
SPRINGDALE, AR 72764
Pharmacist
609 W MAPLE AVE
SPRINGDALE, AR 72764
Occupational Therapist
609 W MAPLE AVE
SPRINGDALE, AR 72764
Dietitian, Registered
609 W MAPLE AVE
SPRINGDALE, AR 72764
Pharmacist
609 W MAPLE AVE
SPRINGDALE, AR 72764
Hospitalist
609 W MAPLE AVE
SPRINGDALE, AR 72764
Physical Therapist
609 W MAPLE AVE
SPRINGDALE, AR 72764
Hospitalist
609 W MAPLE AVE
SPRINGDALE, AR 72764
Hospitalist
609 W MAPLE AVE, HOSPITALIST OFFICE
SPRINGDALE, AR 72764
Emergency Medicine
609 W MAPLE AVE
SPRINGDALE, AR 72764
Dentist (Orthodontics and Dentofacial Orthopedics)
609 W MAPLE AVE
SPRINGDALE, AR 72764
Nurse Practitioner (Family)
609 W MAPLE AVE
SPRINGDALE, AR 72764

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619975455, enumerated as an "individual" on July 13, 2005.

The provider is located at 609 W MAPLE AVE SPRINGDALE, AR 72764 and the phone number is (479) 751-5711.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Blue Cross. Please consult your insurance carrier or call the provider to verify.