MS. JENNIFER LYNN JOHNSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1730186834

MS. JENNIFER LYNN JOHNSON (CRNA) is a healthcare provider. based in Springfield, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2002014117 (MO). The NPI Number for MS. JENNIFER LYNN JOHNSON (CRNA) is 1730186834

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MS. JENNIFER LYNN JOHNSON (CRNA)
NPI
1730186834
Phone
(417) 885-3919
Address
3851 E FOX GRAPE RD
Enumeration Date
5 July 2005
Last Update Date
1 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178205610
Graduation Year
2018 (8 years ago)
PAC ID
4486697240
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20050603000022
Address ID
MO657218807OZ3050XBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050603000022ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20230913003211ICertified Registered Nurse Anesthetist (Crna)CTTBD

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 surgery2121$0
View full utilization report →

Insurance plans in this area (ZIP 65809)

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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: 7416865845View full group profile

Reviews

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Frequently asked questions

Where can patients find MS. JENNIFER LYNN JOHNSON (CRNA)'s NPI?
You can confirm MS. JENNIFER LYNN JOHNSON (CRNA) with NPI 1730186834; it appears in the national provider directory.
Is MS. JENNIFER LYNN JOHNSON (CRNA) active in the national directory?
MS. JENNIFER LYNN JOHNSON (CRNA)'s public NPI profile is in an active state.
What does MS. JENNIFER LYNN JOHNSON (CRNA) treat or focus on?
Patients typically see MS. JENNIFER LYNN JOHNSON (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place MS. JENNIFER LYNN JOHNSON (CRNA)?
The snapshot lists Springfield, Missouri for MS. JENNIFER LYNN JOHNSON (CRNA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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