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SHANNON JOHNSON
NPI 1184568123
Nurse Practitioner - Psychiatric/Mental Health in West Bend, WI

Active since April 20, 2026PECOS Enrolled
111 E WASHINGTON ST, WEST BEND, WI 53095(262) 338-2717 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon Johnson NPPES

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

SHANNON JOHNSON (NPI 1184568123) is an individual psychiatric/mental health provider in West Bend, Wisconsin, licensed in Wisconsin (18294-33) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1184568123
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHANNON JOHNSON
Location Address111 E WASHINGTON STWest Bend, WI 53095-2571
Mailing Address5761 N River Forest DrGlendale, WI 53209-4521
Phone(262) 338-2717
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 20, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1184568123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 18294-33
111 E WASHINGTON ST, West Bend, WI 53095
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Shannon Cavanaugh

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789153321
PECOS Enrollment IDI20260513002472
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 53095 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

TIFFANY DUBEY LCSW, SAC-IT
Social Worker (Clinical)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
ALYSSA SEKADLO
Nurse Practitioner (Psychiatric/Mental Health)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
DANIEL BARANEK
Counselor (Professional)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
ABBY LOUISE JANSSEN LCSW
Social Worker (Clinical)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
JULIE ANNE ROCHELEAU LPC, SAC
Counselor (Professional)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
RYANNE BETH WENDT LCSW
Social Worker (Clinical)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
MS. LONNA LEE TAYLOR MS RN APNP
Nurse Practitioner (Psychiatric/Mental Health)
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717
CRAIG A GROSKREUTZ MS, LPC
Psychologist
111 E WASHINGTON ST
WEST BEND, WI 53095
Washington County (262) 338-2717

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 Shannon Johnson's NPI number?

The NPI number for Shannon Johnson is 1184568123. It was assigned to this individual provider in the NPPES registry on April 20, 2026. The provider is also known as Mrs. Shannon Cavanaugh.

Where is Shannon Johnson located?

Shannon Johnson practices at 111 E Washington St, West Bend, WI 53095. The listed phone number is (262) 338-2717.

What is Shannon Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shannon Johnson enrolled in Medicare?

Yes. Shannon Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Johnson was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.