MS. JENNIFER LYNN JOHNSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1730186834
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
792 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CT
Provider Addresses for MS. JENNIFER LYNN JOHNSON (CRNA)
3851 E FOX GRAPE RD
SPRINGFIELD, MO 658094132
Phone: (417) 885-3919
Type: Mailing
99 EAST RIVER DRIVE
5TH FLOOR
EAST HATFORD, CT 061087301
Phone: (860) 282-0833
Type: Mailing
80 SEYMOUR ST
HARTFORD, CT 061063300
Phone: (860) 545-5000
Type: Location
1235 E Cherokee St
Springfield, MO 658042203
Phone: (417) 820-2761
Type: Location
Mercy Hospital Springfield, 1235, East Cherokee Street, Meador Park, Springfield, Greene County, Missouri, 65804, United States
SPRINGFIELD, MO 658042203
Phone: (417) 820-2761
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-12-24 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($32).
Total Amount
$100
General + Research + Ownership
Payments
5
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $32 |
| Merck Sharp & Dohme LLC | $31 |
| UCB, Inc. | $22 |
| VERTEX PHARMACEUTICALS INCORPORATED | $15 |
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: 2023-09-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050603000022 | I | Certified Registered Nurse Anesthetist (Crna) | MO | TBD |
| I20230913003211 | I | Certified Registered Nurse Anesthetist (Crna) | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 21 | 21 | $0 |
Insurance plans in this area (ZIP 65809)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| U R O L O G Y | MO | |
| P O D I A T R Y | MO | |
| - | KS |
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