SHANIKWA JOHNSON APRN
NPI 1710733787
Nurse Practitioner in Daytona Beach, FL
About Shanikwa Johnson Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANIKWA JOHNSON APRN (NPI 1710733787) is an individual nurse practitioner in Daytona Beach, Florida, licensed in Florida (APRN11041844) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 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
Shanikwa 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.
Medicare Billing Reassignment
Medicare enrollment records show Shanikwa Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Daytona Beach, FL 32117
- Reassigned Medicare billing, Florida enrollment
- 70 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 32119 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 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTONA BEACH, FL 32119
DAYTONA BEACH, FL 32119
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 Shanikwa Johnson's NPI number?
The NPI number for Shanikwa Johnson is 1710733787. It was assigned to this individual provider in the NPPES registry on April 29, 2024.
Where is Shanikwa Johnson located?
Shanikwa Johnson practices at 1301 Beville Rd, Daytona Beach, FL 32119. The listed phone number is (386) 238-9064.
What is Shanikwa Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shanikwa Johnson enrolled in Medicare?
Yes. Shanikwa 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 organization bills Medicare for Shanikwa Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanikwa Johnson reassigns Medicare benefits to Excellence Health, LLC (Daytona Beach, FL). The 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 Shanikwa Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shanikwa Johnson accept?
Health plans from AmeriHealth Caritas Next list Shanikwa 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 Shanikwa Johnson was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Shanikwa Johnson, APRN · NPI 1710733787
Nurse Practitioner physician in Daytona Beach, Florida. Individual provider, active in the CMS NPPES registry since April 29, 2024.
## Identity
- **NPI:** 1710733787 (Entity type: Individual)
- **Enumerated:** April 29, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN11041844 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 BEVILLE RD, Daytona Beach, FL 32119-9009
- **Phone:** (386) 238-9064
## 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:** Excellence Health, LLC (NPI 1447741749, Daytona Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710733787) · Data from the CMS NPPES public registry.