MR. DALLEN M JOHNSON CAA. MSA
NPI 1629322151
Anesthesiologist Assistant in Rio Rancho, NM

Active since November 06, 2012Accepts Medicare Assignment
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144(385) 278-9148 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2025, Nov 21, 2024, Jul 12, 2024 and 3 more (6 updates tracked since 2021).

About Mr. Dallen M Johnson Caa. Msa NPPES

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

MR. DALLEN M JOHNSON CAA. MSA (NPI 1629322151) is an individual anesthesiologist assistant in Rio Rancho, New Mexico, licensed in Indiana (75000078A) and active in the NPI registry since November 2012. He is affiliated with Indiana University Health Ball Memorial Hospital, maintains a secondary practice location in Muncie, and is a graduate of Medical College Of Wisconsin (2020).

NPPES Registry Identity

NPI1629322151
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. DALLEN M JOHNSONCredential: CAA. MSA
Location Address3001 BROADMOOR BLVD NERio Rancho, NM 87144-2100
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2020
Enumeration DateNovember 6, 2012
Last NPPES UpdateDecember 1, 20256 updates tracked since enumeration
NPPES CertifiedDecember 1, 2025
NPI 1629322151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Licenses Licensed in IN · 75000078A Licensed in NM · AA2024-0001
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
3001 BROADMOOR BLVD NE, Rio Rancho, NM 87144

Secondary Practice Location 1

Location 12401 W University AveMuncie, IN 47303-3428 · Phone (765) 751-5404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Dallen M Johnson Caa. Msa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42629834
PECOS Enrollment IDI20210507000165, I20240920001042

Areas of Expertise CMS Part B claims

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 procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

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.

Nurse Anesthetist, Certified Registered
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Registered Nurse (Medical-Surgical)
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Nurse Practitioner (Family)
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Anesthesiology
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Physician Assistant
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Family Medicine
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Counselor (Professional)
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144
Internal Medicine
3001 BROADMOOR BLVD NE
RIO RANCHO, NM 87144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dallen Johnson's NPI number?

The NPI number for Dallen Johnson is 1629322151. It was assigned to this individual provider in the NPPES registry on November 6, 2012.

Where is Dallen Johnson located?

Dallen Johnson practices at 3001 Broadmoor Blvd NE, Rio Rancho, NM 87144. The listed phone number is (385) 278-9148.

What is Dallen Johnson's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Dallen Johnson enrolled in Medicare?

Yes. Dallen Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Dallen Johnson affiliated with any hospitals?

According to CMS data, Dallen Johnson is affiliated with Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dallen Johnson was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.