MS. SHANNON LYNNE JOHNSON NP-C
NPI 1417158296
Nurse Practitioner - Adult Health in East Boston, MA

Q: What is Shannon Johnson's NPI number?

The NPI number for Shannon Johnson is 1417158296. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Shannon Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Johnson was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment

10 GOVE ST, EAST BOSTON, MA 02128(617) 569-5800(617) 568-4780 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ms. Shannon Lynne Johnson Np-c NPPES

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

MS. SHANNON LYNNE JOHNSON NP-C (NPI 1417158296) is an individual adult health provider in East Boston, Massachusetts, licensed in Massachusetts (262820) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1417158296

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. SHANNON LYNNE JOHNSONCredential: NP-C

Location Address10 GOVE STEast Boston, MA 02128-1920

Mailing Address10 Gove StEast Boston, MA 02128-1920 · (617) 569-5800 · Fax (617) 568-4780

Phone(617) 569-5800

Fax(617) 568-4780

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateMay 30, 2007

Last NPPES UpdateFebruary 1, 2012

✔ NPI 1417158296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MA · 262820

10 GOVE ST, East Boston, MA 02128

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Other Identifiers 2

Medicaid0714810MA

Medicare PIN000244101MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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 Lynne Johnson Np-c 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 ID5597859272

PECOS Enrollment IDI20070926000320

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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

49 services48 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220033

Location85 Herrick StreetBeverly, MA 01915 · Essex County

Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220105

Location41 Highland AvenueWinchester, MA 01890 · Middlesex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02128 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

DR. SUTAPA GHOSH M.D.

Obstetrics & Gynecology