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MRS. SHALLON TENNILLE JOHNSON FNP-C
NPI 1104660273
Nurse Practitioner - Family in North Jackson, OH

Active since June 22, 2024PECOS EnrolledAccepts Medicare Assignment
10850 MAHONING AVE, NORTH JACKSON, OH 44451(330) 331-4966(234) 888-7281 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 31, 2025, Sep 18, 2024, Jun 22, 2024 (3 updates tracked since 2024).

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 is a graduate of Other (2024).

NPPES Registry Identity

NPI1104660273
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHALLON TENNILLE JOHNSONCredential: FNP-C
Location Address10850 MAHONING AVENorth Jackson, OH 44451-8705
Mailing Address10850 Mahoning AveNorth Jackson, OH 44451-8705 · (330) 331-4966 · Fax (234) 888-7281
Phone(330) 331-4966
Fax(234) 888-7281
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 22, 2024
Last NPPES UpdateAugust 27, 20253 updates tracked since enumeration
NPPES CertifiedAugust 27, 2025
✔ NPI 1104660273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OH · 0037086
10850 MAHONING AVE, North Jackson, OH 44451
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

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.

PECOS PAC ID8628501582
PECOS Enrollment IDI20241030002570
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.

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, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360185
Location1995 East State StreetSalem, OH 44460 · Columbiana County
Emergency services

Physician 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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES

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

DR. JAY RICHARD OSBORNE M.D.
Family Medicine
10850 MAHONING AVE, BOX 487
NORTH JACKSON, OH 44451
Mahoning County (330) 538-2490

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.

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 11 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.