Active NPIIndividual provider

Johannes J Bartley, CRNA

Nurse Anesthetist, Certified Registered in Portland, Maine

NPI Number1194217281
Practice location
22 Bramhall St, Portland, ME 04102-3134
Fax
—
Last updated
January 15, 2026

Johannes Jack Bartley is a Nurse Anesthetist, Certified Registered based in Portland, ME. Johannes Jack Bartley practices in Portland, ME and has the professional credentials of CRNA. The NPI Number for Johannes Jack Bartley is 1194217281 and holds a License No. RNA203060 (ME). The current practice location address for Johannes Jack Bartley is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 801-910-1089.

Provider Profile Details

NPI Number
1194217281
Provider Name
Johannes Jack Bartley
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
22 Bramhall St, Portland, ME 04102-3134
Phone Number
801-910-1089
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2018
Last Update Date
January 15, 2026
Certification Date
January 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Bramhall St
Portland, ME 04102-3134
State
Maine
Zip
04102-3134
Phone Number
801-910-1089
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
22 Bramhall St
Portland, ME 04102-3134
City
Portland
State
ME
Zip
04102-3134

License Information

License Number (1)
RNA203060
License State (1)
ME
Taxonomy (1)
Nurse Anesthetist, Certified Registered · 367500000X · Primary
License Number (2)
113592-23
License State (2)
NH
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Johannes J Bartley, CRNA?

The NPI number of Johannes J Bartley, CRNA is 1194217281. It was assigned on June 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Johannes J Bartley, CRNA?

Johannes J Bartley, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in ME under license number RNA203060.

Where does Johannes J Bartley, CRNA practice?

The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 801-910-1089 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194217281 directly on the NPPES registry website.

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