SHANELL SYLROSE WADE-JOHNSON APRN
NPI 1639761620
Nurse Practitioner - Family in Louisville, KY

Q: What is Shanell Wade-johnson's NPI number?

The NPI number for Shanell Wade-johnson is 1639761620. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Q: What is Shanell Wade-johnson's specialty?

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

Active since February 10, 2021PECOS EnrolledAccepts Medicare Assignment

530 S JACKSON ST, LOUISVILLE, KY 40202(502) 562-4060(502) 457-4035 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2021, Sep 23, 2021, Feb 10, 2021 (3 updates tracked since 2021).

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About Shanell Sylrose Wade-johnson Aprn NPPES

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

SHANELL SYLROSE WADE-JOHNSON APRN (NPI 1639761620) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3015778) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639761620

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANELL SYLROSE WADE-JOHNSONCredential: APRN

Location Address530 S JACKSON STLouisville, KY 40202-1675

Mailing AddressPo Box 909Louisville, KY 40201-0909

Phone(502) 562-4060

Fax(502) 457-4035

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 10, 2021

Last NPPES UpdateNovember 5, 20213 updates tracked since enumeration

NPPES CertifiedNovember 5, 2021

✔ NPI 1639761620 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 KY · 3015778

530 S JACKSON ST, Louisville, KY 40202

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Secondary Practice Location 1

Location 1310 E Broadway Ste 100Louisville, KY 40202-1745 · Phone (502) 245-0002 · Fax (502) 742-0485

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Shanell Sylrose Wade-johnson Aprn 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 ID1557769569

PECOS Enrollment IDI20211005003548

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 3

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

144 services99 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

75 services59 patients

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.

64 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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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.

KARI BETH CHRISTIE MD

Anesthesiology