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MS. SHANNON VICTORIA JOHNSON WHNP
NPI 1255843033
Nurse Practitioner - Women's Health in Choctaw, MS

Active since November 01, 2017PECOS EnrolledAccepts Medicare Assignment
210 HOSPITAL CIR, CHOCTAW, MS 39350(601) 389-4420 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2019, Nov 1, 2017 (2 updates tracked since 2017).

About Ms. Shannon Victoria Johnson Whnp NPPES

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

MS. SHANNON VICTORIA JOHNSON WHNP (NPI 1255843033) is an individual women's health provider in Choctaw, Mississippi, licensed in Mississippi (901996) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Choctaw Health Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255843033
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. SHANNON VICTORIA JOHNSONCredential: WHNP
Location Address210 HOSPITAL CIRChoctaw, MS 39350-6781
Mailing Address193 Stewart RdCarthage, MS 39051-9600 · (954) 599-6041
Phone(601) 389-4420
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 1, 2017
Last NPPES UpdateJanuary 3, 20192 updates tracked since enumeration
✔ NPI 1255843033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in MS · 901996
210 HOSPITAL CIR, Choctaw, MS 39350
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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

Ms. Shannon Victoria Johnson Whnp 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 ID1850652769
PECOS Enrollment IDI20180309000246
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.

Choctaw Health Center

Acute Care Hospitals · Philadelphia, MS
OwnershipGovernment - Federal
CMS Certification Number250127
LocationRoute 7 Box R50Philadelphia, MS 39350 · Neshoba County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39350 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

MR. EDDIE D RUTHERFORD RPH
Pharmacist
210 HOSPITAL CIR
CHOCTAW, MS 39350
Neshoba County (601) 389-4330
LINDA MURRAY FNP
Nurse Practitioner
210 HOSPITAL CIR
CHOCTAW, MS 39350
Neshoba County (601) 656-2211
JESSICA NICHOLE BLACK
Registered Nurse (Psychiatric/Mental Health)
210 HOSPITAL CIR
CHOCTAW, MS 39350
Neshoba County (601) 389-4150
MS BAND OF CHOCTAW INDIANS
Case Manager/Care Coordinator
210 HOSPITAL CIR
CHOCTAW, MS 39350
Neshoba County (601) 656-2211
DR. STEVEN KORY CULPEPPER PHARM.D.
Pharmacist
210 HOSPITAL CIR
CHOCTAW, MS 39350
Neshoba County (601) 389-4300
MRS. PENNY WEST DICKERSON RD
Dietitian, Registered
210 HOSPITAL CIR
CHOCTAW, MS 39350
Neshoba County (601) 389-4132
MISSISSIPPI BAND OF CHOCTAW INDIANS
Dentist
210 HOSPITAL CIR
CHOCTAW, MS 39350
Neshoba County (601) 389-6342
JESSICA W MOONEY PHARMACIST
Pharmacist
210 HOSPITAL CIR
CHOCTAW, MS 39350
Neshoba County (601) 656-2211

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 1255843033. It was assigned to this individual provider in the NPPES registry on November 1, 2017.

Where is Shannon Johnson located?

Shannon Johnson practices at 210 Hospital Cir, Choctaw, MS 39350. The listed phone number is (601) 389-4420.

What is Shannon Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Shannon Johnson enrolled in Medicare?

Yes. Shannon 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.

Is Shannon Johnson affiliated with any hospitals?

According to CMS data, Shannon Johnson is affiliated with Choctaw Health Center.

When was this NPI record last updated?

The NPPES record for Shannon Johnson was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.