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SHANNON L JOHNSON CNP, APRN, CNS-RX
NPI 1639166499
Nurse Practitioner - Family in Oklahoma City, OK

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
1600 SW 119TH ST, OKLAHOMA CITY, OK 73170(405) 425-8100(405) 425-8109 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1639166499
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON L JOHNSONCredential: CNP, APRN, CNS-RX
Location Address1600 SW 119TH STOklahoma City, OK 73170-4908
Mailing Address5300 N Independence Ave, Ste. 280Oklahoma City, OK 73112-5556 · (405) 425-8100 · Fax (405) 425-8109
Phone(405) 425-8100
Fax(405) 425-8109
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 5, 2005
Last NPPES UpdateFebruary 5, 2016
✔ NPI 1639166499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 60090
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 60090 (OK)
1600 SW 119TH ST, Oklahoma City, OK 73170
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Other Names 1

Former Name (1)Shannon L Clink Rn

Other Identifiers 2

Medicare UPINQ14135OK
Medicaid200030250AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.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

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.

PECOS PAC ID143203273
PECOS Enrollment IDI20121026000250
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.

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.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 15

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

JOSEPH NGUYEN MD
Family Medicine
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170
Cleveland County (405) 425-8100
SHANNON MILLER APRN-CNP
Nurse Practitioner (Family)
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170
Cleveland County (405) 425-8100
CORY D NAGODE M.D.
Family Medicine
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170
Cleveland County (405) 425-8100
PETER CHAN DO
Family Medicine
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170
Cleveland County (405) 425-8100
MRS. CHRISTI RENAE DEWITT PA
Family Medicine
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170
Cleveland County (405) 425-8100
AHMED SALOUS DO
Family Medicine
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170
Cleveland County (405) 425-8100
CHRISTOPHER CHAN DO
Family Medicine
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170
Cleveland County (405) 425-8100
SAMAREA DENISE WEBB APRN
Nurse Practitioner (Family)
1600 SW 119TH ST
OKLAHOMA CITY, OK 73170
Cleveland County (405) 425-8100

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.

What insurance does Shannon Johnson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health 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 with the weekly NPPES data releases published by CMS.