MRS. SHALLON TENNILLE JOHNSON FNP-C
NPI 1104660273
Nurse Practitioner - Family in North Jackson, OH
About Mrs. Shallon Tennille Johnson Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHALLON TENNILLE JOHNSON FNP-C (NPI 1104660273) is an individual family provider in North Jackson, Ohio, licensed in Ohio (0037086) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, is affiliated with Salem Regional Medical Center, and maintains a secondary practice location in Austintown.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Shallon Tennille Johnson Fnp-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.
Medicare Billing Reassignments
2Medicare enrollment records show Shallon Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austintown, OH 44515
- Reassigned Medicare billing, Ohio enrollment
- 17 clinicians in this Medicare group
Salem, OH 44460
- Reassigned Medicare billing, Ohio enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Salem Regional Medical Center
Acute Care Hospitals · Salem, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44451 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shallon Johnson's NPI number?
The NPI number for Shallon Johnson is 1104660273. It was assigned to this individual provider in the NPPES registry on June 22, 2024.
Where is Shallon Johnson located?
Shallon Johnson practices at 10850 Mahoning Ave, North Jackson, OH 44451. The listed phone number is (330) 331-4966.
What is Shallon Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shallon Johnson enrolled in Medicare?
Yes. Shallon 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.
Which organizations bill Medicare for Shallon Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shallon Johnson reassigns Medicare benefits to 2 organizations: On Demand Immediate Care, LLC (Austintown, OH) and Sch Professional Corporation (Salem, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shallon Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shallon Johnson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Shallon Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Shallon Johnson affiliated with any hospitals?
According to CMS data, Shallon Johnson is affiliated with Salem Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Shallon Johnson was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Mrs. Shallon Tennille Johnson, FNP-C · NPI 1104660273
Family physician in North Jackson, Ohio. Individual provider, active in the CMS NPPES registry since June 22, 2024.
## Identity
- **NPI:** 1104660273 (Entity type: Individual)
- **Enumerated:** June 22, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0037086 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 10850 MAHONING AVE, North Jackson, OH 44451-8705
- **Phone:** (330) 331-4966 · **Fax:** (234) 888-7281
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): On Demand Immediate Care, LLC (NPI 1629468061, Austintown, OH); Sch Professional Corporation (NPI 1619959822, Salem, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104660273) · Data from the CMS NPPES public registry.