TAYLOR JOHNSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1134664295

TAYLOR JOHNSON (CRNA) is a healthcare provider. based in Lubbock, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 130052 (OK). The NPI Number for TAYLOR JOHNSON (CRNA) is 1134664295

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TAYLOR JOHNSON (CRNA)
NPI
1134664295
Phone
(806) 796-3000
Address
3419 22nd St
Enumeration Date
28 December 2016
Last Update Date
10 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067614880
Graduation Year
2016 (10 years ago)
PAC ID
6800178245
Group Practice PAC ID
7315907128
Professional Enrollment ID
I20170120000551
Address ID
TX794162423LU4640XLOOP301

Contacts

Secure Messaging
taylor.johnson@direct.myteamcare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for TAYLOR JOHNSON (CRNA)

  • 3419 22nd St

    Lubbock, TX 794101334

    Phone: (806) 796-3000

    Fax: (806) 796-3006

    Type: Location

  • 3601 4TH ST # 1B350S

    LUBBOCK, TX 794300002

    Phone: (806) 743-6639

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2023-06-15 • Largest payer in this snapshot: Innovation Technologies Inc ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-15

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: 2017-01-20

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
I20170120000551ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 surgery3635$0
View full utilization report →

Insurance plans in this area (ZIP 79410)

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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: 7315907128View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)IN
A N E S T H E S I O L O G YTX
-TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YKY
-TX

Reviews

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Frequently asked questions

What is the registry number for TAYLOR JOHNSON (CRNA)?
The registry entry for TAYLOR JOHNSON (CRNA) shows NPI 1134664295.
Is TAYLOR JOHNSON (CRNA)'s NPI status active today?
Active status means TAYLOR JOHNSON (CRNA)'s NPI record is not deactivated in the public file.
What services align with TAYLOR JOHNSON (CRNA)'s listing?
TAYLOR JOHNSON (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TAYLOR JOHNSON (CRNA)?
TAYLOR JOHNSON (CRNA) is associated with Lubbock, Texas in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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