MS. SHAKEYA NICHOLE JOHNSON FNP-C
NPI 1629890157
Nurse Practitioner - Family in Columbia, SC

Q: What is Shakeya Johnson's NPI number?

The NPI number for Shakeya Johnson is 1629890157. It was assigned to this individual provider in the NPPES registry on October 28, 2024.

Q: What is Shakeya Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shakeya Johnson was last updated on December 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 28, 2024PECOS EnrolledAccepts Medicare Assignment

1 RICHLAND MEDICAL PARK DR STE 420, COLUMBIA, SC 29203(803) 434-6430(803) 545-5353 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Ms. Shakeya Nichole Johnson Fnp-c NPPES

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

MS. SHAKEYA NICHOLE JOHNSON FNP-C (NPI 1629890157) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (28085) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Prisma Health Richland Hospital, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1629890157

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. SHAKEYA NICHOLE JOHNSONCredential: FNP-C

Location Address1 RICHLAND MEDICAL PARK DR STE 420Columbia, SC 29203-6833

Mailing Address300 E Mcbee Ave Ste 300Greenville, SC 29601-2899 · (864) 522-8611

Phone(803) 434-6430

Fax(803) 545-5353

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateOctober 28, 2024

Last NPPES UpdateDecember 6, 2024

NPPES CertifiedDecember 6, 2024

✔ NPI 1629890157 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 SC · 28085

1 RICHLAND MEDICAL PARK DR STE 420, Columbia, SC 29203

Open in Google Maps ↗

Secondary Practice Location 1

Location 119 Robins Egg CtColumbia, SC 29229-6843 · Phone (803) 682-1105

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.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. Shakeya Nichole Johnson Fnp-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 ID4385171792

PECOS Enrollment IDI20241226000640

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.

Prisma Health Richland Hospital

Acute Care Hospitals · Columbia, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420018

Location5 Medical ParkColumbia, SC 29203 · Richland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29203 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

Leave this field empty

Other Providers at the Same Location NPPES 19

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

DR. SHARON B. WEISSMAN M.D.

Internal Medicine (Infectious Disease)