Mary Alice Johnson, CRNA
Mary Alice Johnson, CRNA is a Certified Registered Nurse Anesthetist in Green Bay, WI, registered under NPI 1417085705. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1726 SHAWANO AVE, Green Bay, WI 54303. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 033282 | WI | Certified Registered Nurse Anesthetist primary |
| 66618-30 | WI | Registered Nurse |
This provider holds licence 033282 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Nurse Anesthetist, Certified Registered covers
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. NUCC Health Care Provider Taxonomy, code 367500000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 367500000X | Certified Registered Nurse Anesthetist | 033282 | WI | primary |
| 163W00000X | Registered Nurse | 66618-30 | WI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1417085705 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 1, 2007 |
| Last updated | Jul 21, 2010 |
| Status | Active |
| Sole proprietor | No |
| Credential | CRNA |
| Practice address |
1726 SHAWANO AVE Green Bay, WI 54303 (920) 498-4200 |
| Mailing address |
225 S EXECUTIVE DR Brookfield, WI 53005 |
| Other identifiers |
43316600
· Medicaid (WI) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 1 | 7 | 0 | 8 | 5 | 7 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 0 | 8 | 1 | 7 | 0 |
Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.