Ms Shanna Marie Johnson, NP in Milwaukee, WI - Medicare Nurse Practitioner

Ms Shanna Marie Johnson, NP is a medicare enrolled "Nurse Practitioner - Family" in Milwaukee, Wisconsin. Her current practice location is 10625 W North Ave Ste 230, Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 249-5698.

Ms Shanna Marie Johnson is licensed to practice in Wisconsin (license number 14417-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1386940575.

Contact Information

	Ms Shanna Marie Johnson, NP
	10625 W North Ave Ste 230, Milwaukee, WI 53226-2315
	(414) 249-5698
	(320) 207-5719

Map and Direction

Provider's Profile

Full Name	Ms Shanna Marie Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	10625 W North Ave Ste 230, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386940575
Provider Enumeration Date: 02/04/2011
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 1153785357
Enrollment ID: I20230906002605

Medical Identifiers

Medical identifiers for Ms Shanna Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386940575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	197266-30 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	14417-33 (Wisconsin)	Primary

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. Ms Shanna Marie Johnson allows following entities to bill medicare on her behalf.

Entity Name	Horizon Healthcare, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225052830 PECOS PAC ID: 0749182160 Enrollment ID: O20040124000318

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551

Entity Name	Theoria Medical
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20220331000407

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. Ms Shanna Marie 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
Ms Shanna Marie Johnson, NP 10625 W North Ave Ste 230, Milwaukee, WI 53226-2315 Ph: (414) 249-5698	Ms Shanna Marie Johnson, NP 10625 W North Ave Ste 230, Milwaukee, WI 53226-2315 Ph: (414) 249-5698

Reviews and Comments

Nurse Practitioner Nurses in Milwaukee, WI

Ms. Leslie L. Talbert, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Critical Care, Milwaukee, WI 53226 Phone: 414-266-3360 Fax: 414-266-3563
Andrienne M Delaney, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10701 W Research Dr, Milwaukee, WI 53226 Phone: 262-366-2903 Fax: 888-288-4890
Mrs. Karen Elizabeth Mcnerney, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1555 N Rivercenter Dr Ste 206, Milwaukee, WI 53212 Phone: 414-231-1180 Fax: 414-272-5617
Mrs. Anne E B Lakatos, APN-BC, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Dept Of Internal Medicine, Milwaukee, WI 53226 Phone: 414-805-6850 Fax: 414-805-6851
Mrs. Amanda M Manders, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6850 Fax: 414-805-6864
Tracy L Kersten, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-4600 Fax: 414-805-6808
Ms. Michelle Seavers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000

Ms Shanna Marie Johnson, NP - Medicare Nurse Practitioner in Milwaukee, WI