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

Mr. Gregory J Johnson

Individual provider Certified Registered Nurse Anesthetist · NPI 1477031557

Mr. Gregory J Johnson is a Certified Registered Nurse Anesthetist (CRNA) in Mount Pleasant, Wisconsin. Qualified in 2018, 8 years ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Wisconsin.

Years since qualifying
8
Licensed in
FL, WI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

3801 Spring St
Mount Pleasant, WI 53405
Phone: (262) 687-4011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2815 S Seacrest Blvd, Boynton Beach, FL 33435-7969 — (561) 737-7733

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence APRN11020093 (FL)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 243351-30 (WI)

Record details

NPI number1477031557
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2018
Last updated in NPPESJune 25, 2022
Certification dateJune 25, 2022
Mailing addressPo Box 322, Port Sanilac, MI 48469-0322

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 Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Mount Pleasant