MRS. SHANTAE MONAE JOHNSON AGACNP-BC
NPI 1417406752
Nurse Practitioner - Acute Care in Detroit, MI
About Mrs. Shantae Monae Johnson Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SHANTAE MONAE JOHNSON AGACNP-BC (NPI 1417406752) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704245204) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Mrs. Shantae Monae Johnson Agacnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shantae Johnson's NPI number?
The NPI number for Shantae Johnson is 1417406752. It was assigned to this individual provider in the NPPES registry on September 28, 2016.
Where is Shantae Johnson located?
Shantae Johnson practices at 100 Mack Ave Fl 1, Detroit, MI 48201. The listed phone number is (313) 818-8207.
What is Shantae Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Shantae Johnson enrolled in Medicare?
Yes. Shantae 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.
What insurance does Shantae Johnson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Shantae 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 Shantae Johnson was last updated on July 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
