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ANDREA L JOHNSON CRNA
NPI 1982663357
Nurse Anesthetist, Certified Registered in Lake Oswego, OR

Active since March 22, 2006Accepts Medicare Assignment
17720 JEAN WAY STE 100, LAKE OSWEGO, OR 97035(888) 209-0305(952) 442-3688 Get Directions Write a Review

NPPES record last updated: January 7, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 7, 2020, Oct 29, 2019 (2 updates tracked since 2019).

About Andrea L Johnson Crna NPPES

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

ANDREA L JOHNSON CRNA (NPI 1982663357) is an individual nurse anesthetist, certified registered in Lake Oswego, Oregon, licensed in Minnesota (R 159670-4) and active in the NPI registry since March 2006. She maintains a secondary practice location in Minneapolis and is a graduate of Other (2005).

NPPES Registry Identity

NPI1982663357
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameANDREA L JOHNSONCredential: CRNA
Location Address17720 JEAN WAY STE 100Lake Oswego, OR 97035-5575
Mailing Address400 10th St EWaconia, MN 55387-4552 · (888) 209-0305 · Fax (952) 442-3688
Phone(888) 209-0305
Fax(952) 442-3688
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 22, 2006
Last NPPES UpdateJanuary 7, 20202 updates tracked since enumeration
✔ NPI 1982663357 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 MN · R 159670-4
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.
17720 JEAN WAY STE 100, Lake Oswego, OR 97035
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 E 28th StMinneapolis, MN 55407-3723 · Phone (612) 871-7639 · Fax (612) 872-0302

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea L Johnson Crna 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 ID4789615733
PECOS Enrollment IDI20080616000510

Medicare Billing Reassignments

4

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

Anesthesia Associates Northwest LLC
6.4 mi
Anesthesiology
10150 SE 32ND AVE
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 183 clinicians in this Medicare group
NPI 1548281751 (503) 513-8300
Metropolitan Anesthesia LLC
8.1 mi
Anesthesiology
9701 SW BARNES RD, SUITE 300
Portland, OR 97225
  • Reassigned Medicare billing, Oregon enrollment
  • 76 clinicians in this Medicare group
NPI 1720387954 (843) 651-2624
Complete Anesthesia Care LLC
9.4 mi
Nurse Anesthetist, Certified Registered
1130 NW 22ND AVE, SUITE 615
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 63 clinicians in this Medicare group
NPI 1932464492 (503) 229-7137
Anesthetic Solutions, Inc
213 mi
Nurse Anesthetist, Certified Registered
1333 E BARNETT RD
Medford, OR 97504
  • Reassigned Medicare billing, Oregon enrollment
  • 64 clinicians in this Medicare group
NPI 1477022259 (541) 858-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97035 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUST RIGHT ANESTHESIA LLC
Nurse Anesthetist, Certified Registered
17720 JEAN WAY STE 100
LAKE OSWEGO, OR 97035
Clackamas County (888) 209-0305
MARK A. PETROFF, MD. PC
Clinic/Center (Ambulatory Surgical)
17720 JEAN WAY STE 100
LAKE OSWEGO, OR 97035
Clackamas County (503) 635-4886

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 Andrea Johnson's NPI number?

The NPI number for Andrea Johnson is 1982663357. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Andrea Johnson located?

Andrea Johnson practices at 17720 Jean Way Ste 100, Lake Oswego, OR 97035. The listed phone number is (888) 209-0305.

What is Andrea Johnson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Andrea Johnson enrolled in Medicare?

Yes. Andrea 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.

Which organizations bill Medicare for Andrea Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Johnson reassigns Medicare benefits to 4 organizations: Anesthesia Associates Northwest LLC (Milwaukie, OR), Metropolitan Anesthesia LLC (Portland, OR), Complete Anesthesia Care LLC (Portland, OR) and Anesthetic Solutions, Inc (Medford, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Johnson was last updated on January 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.