SHANE JOHNSON
NPI 1063160620
Social Worker - Clinical in Staunton, VA

Active since March 14, 2022PECOS EnrolledAccepts Medicare Assignment
85 SANGERS LN, STAUNTON, VA 24401(540) 213-7566(540) 887-3245 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shane Johnson NPPES

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

SHANE JOHNSON (NPI 1063160620) is an individual clinical provider in Staunton, Virginia, licensed in Virginia (0904013744) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1063160620
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSHANE JOHNSON
Location Address85 SANGERS LNStaunton, VA 24401-6712
Mailing Address85 Sangers LnStaunton, VA 24401-6712 · (540) 213-7566 · Fax (540) 887-3245
Fax(540) 887-3245
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
NPI 1063160620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904013744
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
85 SANGERS LN, Staunton, VA 24401

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

Shane Johnson 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 ID4284018748
PECOS Enrollment IDI20230216003086
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24401 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
$0.00 typical visit price
range $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
85 SANGERS LN
STAUNTON, VA 24401
Non-emergency Medical Transport (VAN)
85 SANGERS LN
STAUNTON, VA 24401
Psychiatry & Neurology (Child & Adolescent Psychiatry)
85 SANGERS LN
STAUNTON, VA 24401
Counselor (Professional)
85 SANGERS LN
STAUNTON, VA 24401
Counselor (Professional)
85 SANGERS LN
STAUNTON, VA 24401
Counselor (Professional)
85 SANGERS LN
STAUNTON, VA 24401
Psychiatry & Neurology (Psychiatry)
85 SANGERS LN
STAUNTON, VA 24401
Counselor (Professional)
85 SANGERS LN
STAUNTON, VA 24401

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 Shane Johnson's NPI number?

The NPI number for Shane Johnson is 1063160620. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Where is Shane Johnson located?

Shane Johnson practices at 85 Sangers Ln, Staunton, VA 24401. The listed phone number is (540) 213-7566.

What is Shane Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Shane Johnson enrolled in Medicare?

Yes. Shane 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 Shane Johnson was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.