Shelley L Johnson, APNP | |
9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 | |
(262) 577-8320 | |
(262) 577-8321 |
Full Name | Shelley L Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 15 Years |
Location | 9697 Saint Catherines Dr # 300, Pleasant Prairie, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750603130 | NPI | - | NPPES |
K400194647 | Other | WI | MEDICARE( FROEDTERT SOUTH) |
1750603130 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3976 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
United Hospital System | Kenosha, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Froedtert South Inc | 9537071196 | 122 |
Entity Name | Froedtert South Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493 |
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
Mailing Address | Practice Location Address |
---|---|
Shelley L Johnson, APNP 9555 76th St, Pleasant Prairie, WI 53158-1984 Ph: (262) 577-8300 | Shelley L Johnson, APNP 9697 Saint Catherines Dr # 300, Pleasant Prairie, WI 53158 Ph: (262) 577-8320 |
Lauren M Gehrig, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5000 | |
Laronda James, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158 Phone: 262-656-3338 Fax: 262-656-3368 | |
Shannon L Yow, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 414-290-6720 Fax: 414-290-6755 | |
Mankaa Vifansi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10505 Corporate Dr Ste 105g, Pleasant Prairie, WI 53158 Phone: 224-623-7883 | |
Mutsa Vollmer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9555 76th St, Pleasant Prairie, WI 53158 Phone: 262-577-8000 | |
Jennifer Erich, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10256 Old Green Bay Rd Fl 2, Pleasant Prairie, WI 53158 Phone: 262-551-4200 | |
Dr. Christina Marie Stallard, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12500 Aurora Dr, Pleasant Prairie, WI 53158 Phone: 262-857-5400 |