Mr. Dallen M Johnson, CAAMSA
Mr. Dallen M Johnson, CAAMSA is an Anesthesiology Assistant in Rio Rancho, New Mexico. Graduated from Medical College of Wisconsin in 2020, 6 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and New Mexico.
- Years since qualifying
- 6
- Trained at
- Medical College of Wisconsin
- Licensed in
- IN, NM
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
3001 Broadmoor Blvd NERio Rancho, NM 87144-2100
Phone: (385) 278-9148
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)
- 2401 W University Ave, Muncie, IN 47303-3428 — (765) 751-5404
Specialties & licences
| Anesthesiologist Assistant (primary) | Taxonomy 367H00000X · Licence 75000078A (IN) |
|---|---|
| Anesthesiologist Assistant | Taxonomy 367H00000X · Licence AA2024-0001 (NM) |
Record details
| NPI number | 1629322151 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CAAMSA |
| Sole proprietor | No |
| NPI enumerated | November 6, 2012 |
| Last updated in NPPES | December 1, 2025 |
| Certification date | December 1, 2025 |
| Mailing address | 250 N Shadeland Ave, Indianapolis, IN 46219-4959 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY ASSISTANT |
|---|---|
| Medical school | MEDICAL COLLEGE OF WISCONSIN |
| Graduated | 2020 (6 years in practice) |
| Group practice | Iu Health Medical Group, Llc — 4351 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |