MR. SCOTT A JOHNSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1801884564

MR. SCOTT A JOHNSON (CRNA) is a healthcare provider. based in Stockton, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. NA2216 (CA). The NPI Number for MR. SCOTT A JOHNSON (CRNA) is 1801884564

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. SCOTT A JOHNSON (CRNA)
NPI
1801884564
Phone
(209) 956-7725
Address
PO BOX 7096
Enumeration Date
7 October 2005
Last Update Date
31 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9166882000
Graduation Year
1995 (31 years ago)
PAC ID
2668485509
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20070606000222
Address ID
CA958234671SA6600XRDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

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Provider Addresses for MR. SCOTT A JOHNSON (CRNA)

  • Stockton Post Office, 401, North San Joaquin Street, Stockton, San Joaquin County, California, 95202, United States

    STOCKTON, CA 952670096

    Phone: (209) 956-7725

    Fax: (209) 956-7733

    Type: Mailing

  • Woodland Road, McRae-Helena, McRae, Telfair County, Georgia, 31055, United States

    SAINT HELENA, CA 945749554

    Phone: (707) 963-3611

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $100.

Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.

Last reported payment date: 2023-02-23 • Largest payer in this snapshot: ATRICURE, INC. ($100).

Total Amount

$100

General + Research + Ownership

Payments

1

Total payment records

General Amount

$100

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$100
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070606000222ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95267)

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Provider's Procedures

MR. SCOTT A JOHNSON (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETCA00142Anesthesia for lens surgery2121

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
Colorectal Surgery (Proctology), General SurgeryLA
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
Emergency MedicineCA
-MA
Emergency MedicineCA

Reviews

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Frequently asked questions

Is MR. SCOTT A JOHNSON (CRNA) listed with a National Provider Identifier?
Yes — MR. SCOTT A JOHNSON (CRNA) has NPI 1801884564 on file in the registry.
Is MR. SCOTT A JOHNSON (CRNA) shown as active in public data?
Registry records indicate MR. SCOTT A JOHNSON (CRNA) maintains an active NPI.
What area of care is associated with MR. SCOTT A JOHNSON (CRNA)?
MR. SCOTT A JOHNSON (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. SCOTT A JOHNSON (CRNA)?
Directory geography for MR. SCOTT A JOHNSON (CRNA) centers on Stockton, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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