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

Individual provider Certified Registered Nurse Anesthetist · NPI 1962122986

Ryan Johnson is a Certified Registered Nurse Anesthetist (CRNA) in Marquette, Michigan. Qualified in 2025, 1 year ago. Practices with Aspirus Keweenaw, a 116-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

412 High St Apt 3
Marquette, MI 49855-3876
Phone: (517) 294-5788
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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 4704327275 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704327275 (MI)

Record details

NPI number1962122986
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 30, 2022
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address1778 N Hughes Rd, Howell, MI 48843-9174

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Aspirus Keweenaw — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marquette