MICHAEL JOHNSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1114000668

MICHAEL JOHNSON (CRNA) is a healthcare provider. based in Charlevoix, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704223453 (MI). The NPI Number for MICHAEL JOHNSON (CRNA) is 1114000668

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JOHNSON (CRNA)
NPI
1114000668
Phone
(231) 547-4024
Address
14700 LAKE SHORE DR
Enumeration Date
20 October 2006
Last Update Date
12 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9285587001
Graduation Year
2003 (23 years ago)
PAC ID
3072700186
Group Practice PAC ID
1355846106
Professional Enrollment ID
I20190406000028
Address ID
AZ860011634FL1840XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for MICHAEL JOHNSON (CRNA)

  • Charlevoix Area Hostipal, 14700, Lake Shore Drive, Boulder Park, Charlevoix Township, Charlevoix County, Michigan, 49720, United States

    CHARLEVOIX, MI 497201931

    Phone: (231) 547-4024

    Fax: (231) 547-8088

    Mailing address matches the actual address.

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 $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-03-26 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20101214001253ICertified Registered Nurse Anesthetist (Crna)MITBD
I20190406000028ICertified Registered Nurse Anesthetist (Crna)AZTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery3736$0
01630Anesthesia for other procedure on top of arm bone and shoulder joint3434$0
64415Injection of anesthetic agent and/or steroid into arm nerve bundle (brachial plexus)2828$0
00811Anesthesia for other procedure on large bowel using an endoscope2121$0
01400Anesthesia for other procedure or exam of knee joint using an endoscope1515$0
View full utilization report →

Insurance plans in this area (ZIP 49720)

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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: 1355846106View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)NM
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)AZ
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)AP
Certified Registered Nurse Anesthetist (Crna)AZ

Reviews

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Frequently asked questions

How do payers reference MICHAEL JOHNSON (CRNA)?
For MICHAEL JOHNSON (CRNA), use NPI 1114000668 as the unique 10-digit identifier.
Active or inactive — what applies to MICHAEL JOHNSON (CRNA)?
You should see MICHAEL JOHNSON (CRNA) as active in CMS-hosted NPPES data.
How would a patient describe MICHAEL JOHNSON (CRNA)'s focus?
For MICHAEL JOHNSON (CRNA), the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MICHAEL JOHNSON (CRNA) located near Charlevoix?
MICHAEL JOHNSON (CRNA) currently maps to Charlevoix, Michigan in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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