SHANIKWA JOHNSON APRN
NPI 1710733787
Nurse Practitioner in Daytona Beach, FL

Active since April 29, 2024PECOS EnrolledAccepts Medicare Assignment
1301 BEVILLE RD, DAYTONA BEACH, FL 32119(386) 238-9064 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Apr 29, 2024 (2 updates tracked since 2024).

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

NPI1710733787
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANIKWA JOHNSONCredential: APRN
Location Address1301 BEVILLE RDDaytona Beach, FL 32119-9009
Mailing AddressPo Box 390691Deltona, FL 32739-0691 · (386) 795-2155
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 29, 2024
Last NPPES UpdateSeptember 2, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2025
NPI 1710733787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in FL · APRN11041844
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 9512253 (FL)
1301 BEVILLE RD, Daytona Beach, FL 32119

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

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.

PECOS PAC ID2769969708
PECOS Enrollment IDI20260121004290
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 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.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 6

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

Audiologist-Hearing Aid Fitter
1301 BEVILLE RD, SUITE 20
DAYTONA BEACH, FL 32119
Podiatrist
1301 BEVILLE RD, SUITE 17
DAYTONA BEACH, FL 32119
Durable Medical Equipment & Medical Supplies
1301 BEVILLE RD, STE 17
DAYTONA BEACH, FL 32119
Chiropractor
1301 BEVILLE RD, SUITE # 5
DAYTONA BEACH, FL 32119
Clinical Medical Laboratory
1301 BEVILLE RD, UNIT 8
DAYTONA BEACH, FL 32119
Hearing Aid Equipment
1301 BEVILLE RD, SUITE 20
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.

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 11 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.