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SHANNON CHRISTINA JOHNSON PA-C
NPI 1295012508
Physician Assistant - Medical in Centennial, CO

Active since November 15, 2011PECOS Enrolled
13111 E. BRIARWOOD AVE #15, CENTENNIAL, CO 80112(303) 632-3640(303) 632-3642 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 29, 2017, Nov 21, 2017 (2 updates tracked since 2017).

About Shannon Christina Johnson Pa-c NPPES

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

SHANNON CHRISTINA JOHNSON PA-C (NPI 1295012508) is an individual medical provider in Centennial, Colorado, licensed in Colorado (4032) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295012508
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHANNON CHRISTINA JOHNSONCredential: PA-C
Location Address13111 E. BRIARWOOD AVE #15Centennial, CO 80112
Mailing Address13111 E. Briarwood Ave #105Centennial, CO 80112 · (303) 632-3640 · Fax (303) 632-3642
Phone(303) 632-3640
Fax(303) 632-3642
Sole ProprietorNo
Enumeration DateNovember 15, 2011
Last NPPES UpdateNovember 29, 20172 updates tracked since enumeration
✔ NPI 1295012508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in CO · 4032✔ Licensed in AZ · 5036

Other Names 1

Former Name (1)Shannon Christina Malan Pa-c

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 Christina Johnson Pa-c 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.

Frequently Asked Questions

What is Shannon Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1295012508, enumerated as an "individual" on November 15, 2011.

Where is the provider located?

The provider is located at 13111 E. BRIARWOOD AVE #15 CENTENNIAL, CO 80112 and the phone number is (303) 632-3640.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.