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

Mr. Timothy Bart Johnson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1588764583

Mr. Timothy Bart Johnson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Broken Bow, Nebraska. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1995, 31 years ago. Practices with Jennie M Melham Memorial Medical Center Inc, a 7-clinician group. Licensed in Nebraska.

Years since qualifying
31
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
NE
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

79568 Sumner Rd
Broken Bow, NE 68822
Phone: (308) 872-2294
Fax: (308) 872-6272
Show map & directions

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

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 100588 (NE)

Record details

NPI number1588764583
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJuly 8, 2007
Mailing address79568 Sumner Road, Broken Bow, NE 68822

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1995 (31 years in practice)
Group practice Jennie M Melham Memorial Medical Center Inc — 7 clinicians
Accepts Medicare assignment Not indicated

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