JOHNNY GAYDEN (APRN) – Certified Registered Nurse Anesthetist, NPI 1205225331

JOHNNY GAYDEN (APRN) is a healthcare provider. based in Reisterstown, Maryland. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials APRN. They hold a License No. R183885 (MD). The NPI Number for JOHNNY GAYDEN (APRN) is 1205225331

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JOHNNY GAYDEN (APRN)
NPI
1205225331
Phone
(410) 504-2521
Address
2 GREENVIEW AVE
Enumeration Date
13 January 2015
Last Update Date
13 January 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4107038858
Graduation Year
2014 (12 years ago)
PAC ID
1951606540
Group Practice PAC ID
3971651126
Professional Enrollment ID
I20160218002177
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for JOHNNY GAYDEN (APRN)

  • 2 GREENVIEW AVE

    REISTERSTOWN, MD 211362402

    Phone: (410) 504-2521

    Type: Mailing

  • 10 N GREENE ST

    BALTIMORE, MD 212011524

    Phone: (410) 605-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-02-18

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
I20160218002177ICertified Registered Nurse Anesthetist (Crna)MDTBD

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 21136)

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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: 3971651126View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MD
Certified Registered Nurse Anesthetist (Crna)MD
Certified Registered Nurse Anesthetist (Crna)MD
-MD
Certified Registered Nurse Anesthetist (Crna)NY

Reviews

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Frequently asked questions

How is JOHNNY GAYDEN (APRN) identified in CMS data?
CMS-hosted NPPES data lists JOHNNY GAYDEN (APRN) with NPI 1205225331.
Does CMS list JOHNNY GAYDEN (APRN) as active?
Yes — JOHNNY GAYDEN (APRN) is active in the NPI listing used on this page.
What taxonomy line describes JOHNNY GAYDEN (APRN)?
For research purposes, treat JOHNNY GAYDEN (APRN) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
Where is JOHNNY GAYDEN (APRN) based?
JOHNNY GAYDEN (APRN) is tied to Reisterstown, Maryland in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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