SHAWN JOHNSON
NPI 1679245898
Nurse Practitioner in Mauston, WI

Q: What is Shawn Johnson's NPI number?

The NPI number for Shawn Johnson is 1679245898. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Q: What is Shawn Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Johnson was last updated on November 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 05, 2021PECOS EnrolledAccepts Medicare Assignment

1050 DIVISION ST, MAUSTON, WI 53948(608) 847-6161 Get Directions Write a Review

NPPES record last updated: November 24, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 24, 2021, Oct 5, 2021 (2 updates tracked since 2021).

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About Shawn Johnson NPPES

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

SHAWN JOHNSON (NPI 1679245898) is an individual nurse practitioner in Mauston, Wisconsin, licensed in Wisconsin (11562-33) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, is affiliated with Mile Bluff Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679245898

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameSHAWN JOHNSON

Location Address1050 DIVISION STMauston, WI 53948-1931

Mailing Address1050 Division StMauston, WI 53948-1931 · (608) 847-6161

Phone(608) 847-6161

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 5, 2021

Last NPPES UpdateNovember 24, 20212 updates tracked since enumeration

NPPES CertifiedNovember 24, 2021

✔ NPI 1679245898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 11562-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1050 DIVISION ST, Mauston, WI 53948

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, Quartz 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

Shawn Johnson 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 ID648176909

PECOS Enrollment IDI20211217002089

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.

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI

OwnershipProprietary

CMS Certification Number520109

Location1050 Division StMauston, WI 53948 · Juneau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53948 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 20

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

KELLY LYNN MCCANN RN

Registered Nurse (Emergency)