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MRS. SHANNON LEE JOHNSON PA-C
NPI 1750566790
Physician Assistant in Davenport, IA

Active since January 09, 2008PECOS EnrolledAccepts Medicare Assignment
1228 E RUSHOLME ST, MOB 1, SUITE 3020, DAVENPORT, IA 52803(563) 421-7540(563) 421-7549 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2021, Oct 6, 2021, Sep 22, 2021 and 3 more (6 updates tracked since 2019).

About Mrs. Shannon Lee Johnson Pa-c NPPES

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

MRS. SHANNON LEE JOHNSON PA-C (NPI 1750566790) is an individual physician assistant in Davenport, Iowa, licensed in Iowa (002328) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Genesis Medical Center-davenport, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1750566790
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SHANNON LEE JOHNSONCredential: PA-C
Location Address1228 E RUSHOLME ST, MOB 1, SUITE 3020Davenport, IA 52803
Mailing Address1228 E Rusholme St, Mob 1, Suite 3020Davenport, IA 52803 · (563) 421-7540 · Fax (563) 421-7549
Phone(563) 421-7540
Fax(563) 421-7549
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJanuary 9, 2008
Last NPPES UpdateOctober 12, 20216 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
✔ NPI 1750566790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IA · 002328✔ Licensed in IL · 085003168
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1228 E RUSHOLME ST, Davenport, IA 52803
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Mrs. Shannon Lee Johnson Pa-c 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 ID6608940135
PECOS Enrollment IDI20130321000621
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52803 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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 16

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

DR. MICHAEL A PHELPS MD
Surgery
1228 E RUSHOLME ST, SUITE 3020
DAVENPORT, IA 52803
Scott County (563) 823-9300
JULIE ANN CABEL ARNP
Nurse Practitioner (Family)
1228 E RUSHOLME ST, MOB 1 SUITE 112
DAVENPORT, IA 52803
Scott County (563) 421-3122
ANN MAXWELL ARNP CFNP
Nurse Practitioner (Family)
1228 E RUSHOLME ST
DAVENPORT, IA 52803
Scott County (563) 421-7675
SHELLEY L. SPECTOR ARNP
Clinical Nurse Specialist (Medical-Surgical)
1228 E RUSHOLME ST, SUITE 302
DAVENPORT, IA 52803
Scott County (563) 823-9300
DR. IQBAL M BINOJ M.D
Internal Medicine
1228 E RUSHOLME ST, SUITE 112
DAVENPORT, IA 52803
Scott County (563) 421-3122
KASSIDEE CHURCH
Nurse Practitioner (Primary Care)
1228 E RUSHOLME ST, MOB 1 STE 2100
DAVENPORT, IA 52803
Scott County (563) 421-8460
ROBERT E. HARSON M.D.
Surgery
1228 E RUSHOLME ST, SUITE 3020
DAVENPORT, IA 52803
Scott County (563) 823-9300
KENNETH JOHN HARTMAN JR. MD
Surgery
1228 E RUSHOLME ST, STE 302
DAVENPORT, IA 52803
Scott County (563) 823-9300

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 1750566790. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Where is Shannon Johnson located?

Shannon Johnson practices at 1228 E Rusholme St Mob 1, Suite 3020, Davenport, IA 52803. The listed phone number is (563) 421-7540.

What is Shannon Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

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 Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers 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.

Is Shannon Johnson affiliated with any hospitals?

According to CMS data, Shannon Johnson is affiliated with Genesis Medical Center-Davenport.

When was this NPI record last updated?

The NPPES record for Shannon Johnson was last updated on October 12, 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.