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

Petagaye Tm Johnson, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1205223898

Petagaye Tm Johnson, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fitchburg, Wisconsin. Qualified in 2004, 22 years ago. Practices with Anesthesia Physician Solutions of South Florida, LLC, a 238-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
22
Licensed in
WI
In the registry since
2015
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

5150 E Cheryl Pkwy Unit 301
Fitchburg, WI 53711-7659
Phone: (786) 278-2008
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 222148 (WI)

Record details

NPI number1205223898
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 21, 2015
Last updated in NPPESApril 16, 2018

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Anesthesia Physician Solutions Of South Florida, Llc — 238 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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