KRISTIN D JOHNSON – Certified Registered Nurse Anesthetist, NPI 1164588018

KRISTIN D JOHNSON is a healthcare provider. based in Charlotte, North Carolina. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 1375 APRN (SC). The NPI Number for KRISTIN D JOHNSON is 1164588018

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN D JOHNSON
NPI
1164588018
Phone
(864) 560-4123
Address
PO BOX 651602
Enumeration Date
28 December 2006
Last Update Date
26 May 2009

Doctor Profile

Medical School Name
MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
9638119159
Group Practice PAC ID
3072425297
Professional Enrollment ID
I20050504000593
Address ID
SC293033040SP101XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,619 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in SC

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Provider Addresses for KRISTIN D JOHNSON

  • Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States

    CHARLOTTE, NC 282651602

    Phone: (864) 560-4123

    Type: Mailing

  • Spartanburg Medical Center, 101, East Wood Street, Spartanburg, Spartanburg County, South Carolina, 29303, United States

    SPARTANBURG, SC 293033040

    Phone: (864) 560-6122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Peerless Surgical Inc. ($47).

Total Amount

$132

General + Research + Ownership

Payments

6

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2005-05-04

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
I20050504000593ICertified Registered Nurse Anesthetist (Crna)SCTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2020$0
00670Anesthesia for extensive surgery on spine1515$0
00790Anesthesia for other procedure on upper abdomen1111$0
01402Anesthesia for procedure for total knee joint replacement1111$0
View full utilization report →

Insurance plans in this area (ZIP 28265)

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Provider's Procedures

KRISTIN D JOHNSON performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETSC01402Anesthesia for open or endoscopic total knee joint replacement1212

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: 3072425297View full group profile
NameSpecialtyState
Nurse PractitionerGA
-FL
H E M A T O L O G Y/ O N C O L O G YGA
-GA
Family PracticeSC
U R O L O G YSC
Diagnostic RadiologyTX
G A S T R O E N T E R O L O G YGA
Certified Registered Nurse Anesthetist (Crna)OH
Nurse PractitionerSC

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Frequently asked questions

What is the 10-digit NPI for KRISTIN D JOHNSON?
KRISTIN D JOHNSON — NPI 1164588018 — is the standard way to identify this listing.
Does CMS list KRISTIN D JOHNSON as active?
Yes — KRISTIN D JOHNSON is active in the NPI listing used on this page.
What is KRISTIN D JOHNSON's specialty?
The listing groups KRISTIN D JOHNSON with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for KRISTIN D JOHNSON?
KRISTIN D JOHNSON's geographic hint is Charlotte, North Carolina in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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