SHANNON L JOHNSON CNP, APRN, CNS-RX
NPI 1639166499
Nurse Practitioner - Family in Oklahoma City, OK
About Shannon L Johnson Cnp, Aprn, Cns-rx NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON L JOHNSON CNP, APRN, CNS-RX (NPI 1639166499) is an individual family provider in Oklahoma City, Oklahoma, licensed in Oklahoma (60090) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shannon L Johnson Cnp, Aprn, Cns-rx 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.
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oklahoma City, OK 73109
- Reassigned Medicare billing, Oklahoma enrollment
- 4 clinicians in this Medicare group
Oklahoma City, OK 73106
- Reassigned Medicare billing, Oklahoma enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73170 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 15
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 Shannon Johnson's NPI number?
The NPI number for Shannon Johnson is 1639166499. It was assigned to this individual provider in the NPPES registry on October 5, 2005. The provider is also known as Shannon L Clink Rn.
Where is Shannon Johnson located?
Shannon Johnson practices at 1600 SW 119th St, Oklahoma City, OK 73170. The listed phone number is (405) 425-8100.
What is Shannon Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Johnson enrolled in Medicare?
Yes. Shannon 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.
Which organizations bill Medicare for Shannon Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Johnson reassigns Medicare benefits to 2 organizations: Fazal Akbar Ali MD PC (Oklahoma City, OK) and Complete & Comprehensive Kidney Care PLLC (Oklahoma City, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Johnson accept?
Health plans from Blue Cross and Blue Shield of Oklahoma list Shannon 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 Shannon Johnson was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Shannon L Johnson, CNP, APRN, CNS-RX · NPI 1639166499
Family physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since October 5, 2005.
## Identity
- **NPI:** 1639166499 (Entity type: Individual)
- **Enumerated:** October 5, 2005
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 60090 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 SW 119TH ST, Oklahoma City, OK 73170-4908
- **Phone:** (405) 425-8100 · **Fax:** (405) 425-8109
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fazal Akbar Ali MD PC (NPI 1730515362, Oklahoma City, OK); Complete & Comprehensive Kidney Care PLLC (NPI 1922647585, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 5, 2016
- **Other identifiers:** Medicare UPIN Q14135 (OK); Medicaid 200030250A (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1639166499) · Data from the CMS NPPES public registry.