MARCUS L JOHNSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1609311802

MARCUS L JOHNSON (CRNA) is a healthcare provider. based in Brookhaven, Mississippi. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 891211 (MS). The NPI Number for MARCUS L JOHNSON (CRNA) is 1609311802

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MARCUS L JOHNSON (CRNA)
NPI
1609311802
Phone
(601) 833-6011
Address
427 HIGHWAY 51 N
Enumeration Date
23 December 2016
Last Update Date
23 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6018336011
Graduation Year
2016 (10 years ago)
PAC ID
5092098723
Group Practice PAC ID
3072575539
Professional Enrollment ID
I20170203000655
Address ID
MS396012350BR427XXNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

760 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MS

Provider Addresses for MARCUS L JOHNSON (CRNA)

  • 427 HIGHWAY 51 N

    BROOKHAVEN, MS 396012350

    Phone: (601) 833-6011

    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)

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: 2017-02-03

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
I20170203000655ICertified Registered Nurse Anesthetist (Crna)MSTBD

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
00873Anesthesia for shock wave therapy for urinary system stones without water bath3634$0
00910Anesthesia for other procedure on urinary system through urethra2423$0
00812Anesthesia for exam of colon using an endoscope2323$0
00811Anesthesia for other procedure on large bowel using an endoscope2020$0
00142Anesthesia for lens surgery1717$0
View full utilization report →

Insurance plans in this area (ZIP 39601)

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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: 3072575539View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MS
-MS
Certified Registered Nurse Anesthetist (Crna)AL
Nurse PractitionerMS
O B S T E T R I C S/ G Y N E C O L O G YLA
-MS
-NC
-MS
Internal MedicineMS
Nurse PractitionerMS

Reviews

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Frequently asked questions

What number should I use to identify MARCUS L JOHNSON (CRNA) for billing?
Administrative and clinical systems typically use NPI 1609311802 for MARCUS L JOHNSON (CRNA).
Quick check: is MARCUS L JOHNSON (CRNA) active?
Public NPPES data shows MARCUS L JOHNSON (CRNA) with an active NPI status right now.
How should patients interpret MARCUS L JOHNSON (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for MARCUS L JOHNSON (CRNA). Clinical services aligned with this taxonomy classification.
Is MARCUS L JOHNSON (CRNA) tied to Brookhaven, Mississippi?
If you are local to Brookhaven, Mississippi, MARCUS L JOHNSON (CRNA) may be relevant to your search.
Why is information missing for MARCUS L JOHNSON (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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