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

Jeffery R Johnson

Individual provider Certified Registered Nurse Anesthetist · NPI 1528555091

Jeffery R Johnson is a Certified Registered Nurse Anesthetist (CRNA) in Omaha, Nebraska. Qualified in 2018, 8 years ago. Practices with Memorial Hospital of Converse County, a 80-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
8
Licensed in
NE
In the registry since
2018
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Practice location Address checks out

Emile @ 42nd St
Omaha, NE 68198-0001
Phone: (402) 559-4081
Fax: (402) 559-7372
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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 101473 (NE)

Record details

NPI number1528555091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESApril 19, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Memorial Hospital Of Converse County — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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