SHAWNTA POOLE-JOHNSON APRN
NPI 1285307793
Nurse Practitioner - Family in Memphis, TN

Q: What is Shawnta Poole-johnson's NPI number?

The NPI number for Shawnta Poole-johnson is 1285307793. It was assigned to this individual provider in the NPPES registry on July 29, 2021.

Q: What is Shawnta Poole-johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 29, 2021PECOS Enrolled

100/100

CMS Quality Rating

3530 HICKORY HILL RD, MEMPHIS, TN 38115(901) 881-6686 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shawnta Poole-johnson Aprn NPPES

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

SHAWNTA POOLE-JOHNSON APRN (NPI 1285307793) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (20001) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285307793

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHAWNTA POOLE-JOHNSONCredential: APRN

Location Address3530 HICKORY HILL RDMemphis, TN 38115-3840

Mailing Address7549 Starfire CvMemphis, TN 38125-4760

Phone(901) 881-6686

Sole ProprietorYes

Enumeration DateJuly 29, 2021

NPPES CertifiedJuly 29, 2021

✔ NPI 1285307793 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 TN · 20001

3530 HICKORY HILL RD, Memphis, TN 38115

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Shawnta Poole-johnson Aprn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38115 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

TERI WILLIAMS

Nurse Practitioner (Family)