Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Scott Johnson

Individual provider Certified Registered Nurse Anesthetist · NPI 1013774868

Daniel Scott Johnson is a Certified Registered Nurse Anesthetist (CRNA) in Twin Falls, Idaho. Qualified in 2023, 3 years ago. Practices with St Lukes Clinic LLC, a 310-clinician group and accepts Medicare assignment. Licensed in Idaho and Illinois.

Years since qualifying
3
Licensed in
ID, IL
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

801 Pole Line Rd W
Twin Falls, ID 83301-5810
Phone: (208) 734-7362
Fax: (208) 814-0948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 78095 (ID)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209.035607 (IL)

Record details

NPI number1013774868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2024
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address2024 Blue Sky Ln, Twin Falls, ID 83301-5558

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Lukes Clinic Llc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Twin Falls