JESSICA PAIGE JOHNSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1154949204

JESSICA PAIGE JOHNSON (CRNA) is a healthcare provider. based in Grand blanc, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 135290 (MI). The NPI Number for JESSICA PAIGE JOHNSON (CRNA) is 1154949204

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA PAIGE JOHNSON (CRNA)
NPI
1154949204
Phone
(810) 606-5019
Address
1 GENESYS PKWY STE 2432
Enumeration Date
6 July 2020
Last Update Date
13 September 2020

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8106065000
Graduation Year
2020 (6 years ago)
PAC ID
2365861143
Group Practice PAC ID
2062323033
Professional Enrollment ID
I20200928002317
Address ID
MI484398065GR1XXXXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

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

Provider Addresses for JESSICA PAIGE JOHNSON (CRNA)

  • 1 GENESYS PKWY STE 2432

    GRAND BLANC, MI 484398065

    Phone: (810) 606-5019

    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 $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$15
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: 2020-09-28

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
I20200928002317ICertified 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 48439)

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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: 2062323033View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
-MI
Family PracticeMI
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
P O D I A T R YMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for JESSICA PAIGE JOHNSON (CRNA)?
JESSICA PAIGE JOHNSON (CRNA) — NPI 1154949204 — is the standard way to identify this listing.
Can I rely on JESSICA PAIGE JOHNSON (CRNA) being an active provider?
As of the registry snapshot, JESSICA PAIGE JOHNSON (CRNA) is marked active.
What is JESSICA PAIGE JOHNSON (CRNA)'s specialty?
The listing groups JESSICA PAIGE JOHNSON (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for JESSICA PAIGE JOHNSON (CRNA)?
JESSICA PAIGE JOHNSON (CRNA)'s geographic hint is Grand Blanc, Michigan in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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