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SHAVAUN JOHNSON NP
NPI 1225624729
Nurse Practitioner - Psychiatric/Mental Health in Queen Creek, AZ

Active since December 18, 2020PECOS Enrolled
21168 E OCOTILLO RD # 1045, QUEEN CREEK, AZ 85142(623) 265-6220(866) 491-7389 Get Directions Write a Review

NPPES record last updated: December 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 28, 2025, Aug 8, 2024, Aug 24, 2021 and 1 more (4 updates tracked since 2020).

About Shavaun Johnson Np NPPES

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

SHAVAUN JOHNSON NP (NPI 1225624729) is an individual psychiatric/mental health provider in Queen Creek, Arizona, licensed in Missouri (2024022030) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225624729
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHAVAUN JOHNSONCredential: NP
Location Address21168 E OCOTILLO RD # 1045Queen Creek, AZ 85142-8175
Mailing Address21168 E Ocotillo Rd # 1045Queen Creek, AZ 85142-8175 · (623) 265-6220 · Fax (866) 491-7389
Phone(623) 265-6220
Fax(866) 491-7389
Sole ProprietorNo
Enumeration DateDecember 18, 2020
Last NPPES UpdateDecember 28, 20254 updates tracked since enumeration
NPPES CertifiedDecember 28, 2025
✔ NPI 1225624729 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
Licenses✔ Licensed in MO · 2024022030✔ Licensed in AZ · 251493
21168 E OCOTILLO RD # 1045, Queen Creek, AZ 85142
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Shavaun Johnson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Behavioral Health Services, Inc
11 mi
Mental Health (Including Community Mental Health Center)
1545 W BROADWAY AVE, SUITE 1 & 2
Apache Junction, AZ 85220
  • Reassigned Medicare billing, Arizona enrollment
  • 137 clinicians in this Medicare group
NPI 1932348240 (480) 671-3032
Jewish Family & Children's Service
15 mi
Community/Behavioral Health
880 N COLORADO ST
Gilbert, AZ 85233
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Jewish Family & Childrens Service
  • 136 clinicians in this Medicare group
NPI 1881680254 (480) 820-0825
Mercy Clinic Adult Hospitalists - Washington, LLC
1,209 mi
Hospitalist
901 E 5TH ST
Washington, MO 63090
  • Reassigned Medicare billing, Missouri enrollment
  • 261 clinicians in this Medicare group
NPI 1891943429 (636) 239-8231
Mercy Clinic Adult Hospitalists- Jefferson, LLC
1,238 mi
Internal Medicine
1400 US HIGHWAY 61
Festus, MO 63028
  • Reassigned Medicare billing, Missouri enrollment
  • 299 clinicians in this Medicare group
NPI 1083052492 (314) 364-4200
Mercy Clinic Adult Hospitalists - St. Louis, LLC
1,242 mi
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016-B
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 326 clinicians in this Medicare group
NPI 1841235108 (314) 251-6339
St Anthonys Physician Organization Hospitalist Services, L.C.
1,243 mi
Hospitalist
10010 KENNERLY RD, 3 SOUTHBRIDGE
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
  • 340 clinicians in this Medicare group
NPI 1407216336 (314) 525-1328

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
91 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85142 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

LIGHT AT THE END PLLC
Nurse Practitioner (Psychiatric/Mental Health)
21168 E OCOTILLO RD # 1045
QUEEN CREEK, AZ 85142
Maricopa County (623) 265-6220

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 Shavaun Johnson's NPI number?

The NPI number for Shavaun Johnson is 1225624729. It was assigned to this individual provider in the NPPES registry on December 18, 2020.

Where is Shavaun Johnson located?

Shavaun Johnson practices at 21168 E Ocotillo Rd # 1045, Queen Creek, AZ 85142. The listed phone number is (623) 265-6220.

What is Shavaun Johnson's specialty?

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

Is Shavaun Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Shavaun Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shavaun Johnson reassigns Medicare benefits to 6 organizations: Southwest Behavioral Health Services, Inc (Apache Junction, AZ), Jewish Family & Children's Service (Gilbert, AZ), Mercy Clinic Adult Hospitalists - Washington, LLC (Washington, MO), Mercy Clinic Adult Hospitalists- Jefferson, LLC (Festus, MO), Mercy Clinic Adult Hospitalists - St. Louis, LLC (Saint Louis, MO) and 1 more organization, listed in the Medicare section above. 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 Shavaun Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shavaun Johnson accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Medica, Oscar Health Plan, Inc. and UnitedHealthcare list Shavaun 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.

When was this NPI record last updated?

The NPPES record for Shavaun Johnson was last updated on December 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.