JANESSA JOHNSON – Certified Registered Nurse Anesthetist, NPI 1124663281

JANESSA JOHNSON is a healthcare provider. based in Flint, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 4704330684 (MI). The NPI Number for JANESSA JOHNSON is 1124663281

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
JANESSA JOHNSON
NPI
1124663281
Phone
(989) 415-3534
Address
303 E KEARSLEY ST
Enumeration Date
13 November 2019
Last Update Date
1 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9895836237
Graduation Year
2022 (4 years ago)
PAC ID
5395129498
Group Practice PAC ID
2769387778
Professional Enrollment ID
I20220908000503
Address ID
MI486024727SA1447XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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

Provider Addresses for JANESSA JOHNSON

  • 303 E KEARSLEY ST

    FLINT, MI 485021907

    Phone: (989) 415-3534

    Type: Location

  • 1447 N HARRISON ST

    SAGINAW, MI 486024727

    Phone: (989) 583-0000

    Type: Location

  • 9512 BARKLEY RD

    MILLINGTON, MI 487469761

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $277.

Total Amount is formed as General ($277) + Research ($0) + Ownership ($0) = $277.

Last reported payment date: 2024-09-20 • Largest payer in this snapshot: ABIOMED ($136).

Total Amount

$277

General + Research + Ownership

Payments

9

Total payment records

General Amount

$277

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-20

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: 2022-09-08

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
I20220908000503ICertified Registered Nurse Anesthetist (Crna)MITBD

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 48502)

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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: 2769387778View full group profile
NameSpecialtyState
Neurology, Internal MedicineMI
-MI
-MI
-MI
Pulmonary Disease, Critical Care (Intensivists)MI
Nurse PractitionerMI
Certified Registered Nurse Anesthetist (Crna)MI
Family PracticeMI
Internal MedicineMI
Internal MedicineOH

Reviews

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Frequently asked questions

What is JANESSA JOHNSON's NPI number?
JANESSA JOHNSON's NPI is 1124663281 — the number used across U.S. healthcare to identify this provider.
Is JANESSA JOHNSON still an active registrant?
JANESSA JOHNSON carries an active NPI according to the public dataset.
What kind of doctor is JANESSA JOHNSON?
JANESSA JOHNSON is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is JANESSA JOHNSON located near Flint?
JANESSA JOHNSON currently maps to Flint, Michigan in this extract.
Does JANESSA JOHNSON accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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