Kelsey Ruth Johnson, CRNA in Los Angeles, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Kelsey Ruth Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Los Angeles, California. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Wake Forest University Health Sciences and her current practice location is 1500 San Pablo St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-7400.

Kelsey Ruth Johnson is licensed to practice in California (license number NA95000110) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275860751.

Contact Information

	Kelsey Ruth Johnson, CRNA
	1500 San Pablo St, Los Angeles, CA 90033-5313
	(323) 442-7400
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelsey Ruth Johnson
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	1500 San Pablo St, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelsey Ruth Johnson graduated from nursing school in 2010

NPI Data:

NPI Number: 1275860751
Provider Enumeration Date: 11/04/2009
Last Update Date: 05/05/2015

Medicare PECOS Information:

PECOS PAC ID: 8426239930
Enrollment ID: I20170714001401

Medical Identifiers

Medical identifiers for Kelsey Ruth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275860751	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN557002 (Pennsylvania)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024168856 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	NA95000110 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lexington Memorial Hospital Inc	Lexington, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wake Forest University Health Sciences	4486564952	2048

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsey Ruth Johnson allows following entities to bill medicare on her behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

Entity Name	Piedmont Triad Anesthesia Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467497081 PECOS PAC ID: 8426020025 Enrollment ID: O20040824000312

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Ruth Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelsey Ruth Johnson, CRNA Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-7400	Kelsey Ruth Johnson, CRNA 1500 San Pablo St, Los Angeles, CA 90033-5313 Ph: (323) 442-7400

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Los Angeles, CA

Mrs. Cathy Kiem Ngo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Cynthia L Plehn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011
Mrs. Sara Rondinone Shive, RN, BSN, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 Fax: 323-442-7411
Brandon Lee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 S Grand Ave, Los Angeles, CA 90015 Phone: 213-748-2411
Brooke A Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Mrs. Dina Marie Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Tahira Ayanna Smith-aifesehi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2622

Kelsey Ruth Johnson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Los Angeles, CA