Jacob Johnson, CRNA
Nurse Anesthetist, Certified Registered in Asheville, NC. Individual provider (NPI-1).
NPI number1083158554
StatusActive
Last updated in NPPESDec 27, 2016
Details
- NPI
- 1083158554
- Entity type
- Individual (NPI-1)
- Name
- Jacob Johnson
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 18, 2016
- Last updated
- Dec 27, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Part B Yes · DME No · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 5576 | NC | Yes |
Practice location
7105 Davis Grey DrAsheville, NC 28803-0208
Phone 662-415-6574
Mailing address
50 Schenck PkwyAsheville, NC 28803-3499
Phone 828-681-1527
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 260 Certified Registered Nurse Anesthetist providers in Asheville · All 10,272 providers in Asheville
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