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

Dr. Mario Johnson, CRNA

Individual provider Anesthesiology Physician · NPI 1396261905

Dr. Mario Johnson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Memphis, Tennessee. Qualified in 2012, 14 years ago. Practices with Midwest Anesthesia Providers SC, a 182-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Illinois and Tennessee.

Years since qualifying
14
Licensed in
FL, IL, TN
In the registry since
2017
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1417 Monroe Ave
Memphis, TN 38104-3634
Phone: (901) 272-7200
Fax: (901) 272-0821
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1239 E Main St, Carbondale, IL 62901-3175 — (618) 549-0721

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11043007 (FL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 114648 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 26516 (TN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 209016529 (IL)

Record details

NPI number1396261905
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 15, 2017
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address3121 Steeplegate Dr, Germantown, TN 38138-7745

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Midwest Anesthesia Providers Sc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Memphis