JORDAN LEE JOHNSON
NPI 1932772076
Nurse Anesthetist, Certified Registered in Tyler, TX

Active since July 16, 2021Accepts Medicare Assignment
10983 BIGHORN DR, TYLER, TX 75707(318) 312-1772 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jordan Lee Johnson NPPES

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

JORDAN LEE JOHNSON (NPI 1932772076) is an individual nurse anesthetist, certified registered in Tyler, Texas, licensed in Texas (136156) and active in the NPI registry since July 2021. He is affiliated with Texoma Medical Center and is a graduate of Other (2010).

NPPES Registry Identity

NPI1932772076
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameJORDAN LEE JOHNSON
Location Address10983 BIGHORN DRTyler, TX 75707-5360
Mailing Address10983 Bighorn DrTyler, TX 75707-5360 · (318) 312-1772
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 16, 2021
NPPES CertifiedJuly 16, 2021
NPI 1932772076 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
License Licensed in TX · 136156
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.

10983 BIGHORN DR, Tyler, TX 75707

Accepted Insurance

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

Jordan Lee Johnson 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 ID9830582170
PECOS Enrollment IDI20220208002835

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
48 services45 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
28 services28 patients
Anesthesia for other closed procedure on chest 00520
Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.
18 services18 patients
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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932772076, enumerated as an "individual" on July 16, 2021.

The provider is located at 10983 BIGHORN DR TYLER, TX 75707 and the phone number is (318) 312-1772.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

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

Jordan Johnson is affiliated with: TEXOMA MEDICAL CENTER.