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SHERONDA LATRECIA JOHNSON ACNP-C
NPI 1053807602
Nurse Practitioner - Acute Care in San Francisco, CA

Active since July 06, 2018PECOS EnrolledAccepts Medicare Assignment
500 PARNASSUS AVE RM MUW -405, SAN FRANCISCO, CA 94143(415) 353-8890 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2023, Aug 26, 2019, Dec 17, 2018 and 2 more (5 updates tracked since 2018).

About Sheronda Latrecia Johnson Acnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERONDA LATRECIA JOHNSON ACNP-C (NPI 1053807602) is an individual acute care provider in San Francisco, California, licensed in California (95010260) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Roseville, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053807602
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHERONDA LATRECIA JOHNSONCredential: ACNP-C
Location Address500 PARNASSUS AVE RM MUW -405San Francisco, CA 94143-2203
Mailing Address500 Parnassus Ave Rm Muw -405San Francisco, CA 94143-2203 · (415) 353-8890
Phone(415) 353-8890
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 6, 2018
Last NPPES UpdateApril 6, 20235 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1053807602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · 95010260
500 PARNASSUS AVE RM MUW -405, San Francisco, CA 94143
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Other Names 1

Former Name (1)Sheronda Latrecia Hicks

Secondary Practice Location 1

Location 1100 S Harding Blvd Ste 2Roseville, CA 95678-3360 · Phone (916) 797-3999

Other Identifiers 1

Other1053807602CA · None

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sheronda Latrecia Johnson Acnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830554195
PECOS Enrollment IDI20230420002734
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
68 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services26 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheronda Johnson's NPI number?

The NPI number for Sheronda Johnson is 1053807602. It was assigned to this individual provider in the NPPES registry on July 6, 2018. The provider is also known as Sheronda Latrecia Hicks.

Where is Sheronda Johnson located?

Sheronda Johnson practices at 500 Parnassus Ave Rm Muw -405, San Francisco, CA 94143. The listed phone number is (415) 353-8890.

What is Sheronda Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sheronda Johnson enrolled in Medicare?

Yes. Sheronda Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Sheronda Johnson was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.