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

Lisa Marie Johnson

Individual provider Certified Registered Nurse Anesthetist · NPI 1770840993

Lisa Marie Johnson is a Certified Registered Nurse Anesthetist (CRNA) in Milwaukee, Wisconsin. Qualified in 2012, 14 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226
Phone: (414) 805-2764
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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 5069 (WI)

Record details

NPI number1770840993
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2012
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address210 S Water St Unit 520, Milwaukee, WI 53204-4314

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 The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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