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 with the weekly NPPES data releases published by CMS.

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: July 19, 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 Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Texas, Health Advantage and more.Insurance ›

Areas of Expertise CMS Part B claims 3

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 other procedure on urinary system through urethra 00910

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.

21 services21 patients

Anesthesia for removal of urinary bladder tumors including use of an endoscope 00912

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.

11 services11 patients

Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope 00918

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.

11 services11 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.

MR. REX DWAYNE WAGGONER CRNA

Nurse Anesthetist, Certified Registered