MR. RANDY J. JOHNSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1407954084

MR. RANDY J. JOHNSON (CRNA) is a healthcare provider. based in Rockwood, Pennsylvania. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN342781-L (PA). The NPI Number for MR. RANDY J. JOHNSON (CRNA) is 1407954084

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDY J. JOHNSON (CRNA)
NPI
1407954084
Phone
(814) 926-2017
Address
2305 GARRETT RD
Enumeration Date
20 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8144435596
Graduation Year
2000 (26 years ago)
PAC ID
6103997929
Group Practice PAC ID
1355235144
Professional Enrollment ID
I20080620000486
Address ID
PA155012033SO225XXAVEX423
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

4,245 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in PA

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Provider Addresses for MR. RANDY J. JOHNSON (CRNA)

  • Garrett Road, Rockwood, Somerset County, Pennsylvania, United States

    ROCKWOOD, PA 155575834

    Phone: (814) 926-2017

    Type: Mailing

  • Conemaugh Memorial Medical Center, 1086, Franklin Street, Johnstown, Cambria County, Pennsylvania, 15905, United States of America

    JOHNSTOWN, PA 159054305

    Phone: (814) 534-9321

    Type: Location

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: 2008-06-20

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
I20080620000486ICertified Registered Nurse Anesthetist (Crna)PATBD

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 15557)

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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: 1355235144View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
P A T H O L O G YPA
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)WV
Certified Registered Nurse Anesthetist (Crna)PA
P A T H O L O G YPA
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YPA

Reviews

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Frequently asked questions

Can I cross-check MR. RANDY J. JOHNSON (CRNA) using NPI 1407954084?
NPI 1407954084 belongs to MR. RANDY J. JOHNSON (CRNA); compare other details if you need extra assurance.
Is MR. RANDY J. JOHNSON (CRNA) still an active registrant?
MR. RANDY J. JOHNSON (CRNA) carries an active NPI according to the public dataset.
What expertise is attributed to MR. RANDY J. JOHNSON (CRNA)?
MR. RANDY J. JOHNSON (CRNA)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. RANDY J. JOHNSON (CRNA)?
Directory geography for MR. RANDY J. JOHNSON (CRNA) centers on Rockwood, Pennsylvania.
Can I trust this NPI listing for MR. RANDY J. JOHNSON (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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