SHANTAE JOHNSON NP-BC
NPI 1750872487
Nurse Practitioner - Adult Health in Sugar Land, TX

Q: What is Shantae Johnson's NPI number?

The NPI number for Shantae Johnson is 1750872487. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Q: What is Shantae Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Shantae Johnson was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 30, 2018PECOS EnrolledAccepts Medicare Assignment

17520 W GRAND PKWY S, SUGAR LAND, TX 77479(812) 725-5970 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2024, Oct 17, 2022, Oct 3, 2022 and 1 more (4 updates tracked since 2022).

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About Shantae Johnson Np-bc NPPES

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

SHANTAE JOHNSON NP-BC (NPI 1750872487) is an individual adult health provider in Sugar Land, Texas, licensed in Texas (AP143150) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1750872487

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHANTAE JOHNSONCredential: NP-BC

Location Address17520 W GRAND PKWY SSugar Land, TX 77479-4758

Mailing Address17520 W Grand Pkwy SSugar Land, TX 77479-4758 · (281) 725-5970

Phone(812) 725-5970

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMay 30, 2018

Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1750872487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in TX · AP143150

17520 W GRAND PKWY S, Sugar Land, TX 77479

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare and more.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

Shantae Johnson Np-bc 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 ID8426307430

PECOS Enrollment IDI20200309000058

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.

Medicare Billing Reassignments

Medicare enrollment records show Shantae Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Hermann Medical Group

14 mi

Family Medicine

6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441

Reassigned Medicare billing, Texas enrollment
1,235 clinicians in this Medicare group

NPI 1003985102 (832) 658-5750

Trumen Physician And Associates Post Acute PLLC

18 mi

Geriatric Medicine

2626 S LOOP W STE 265
Houston, TX 77054

Reassigned Medicare billing, Texas enrollment
143 clinicians in this Medicare group

NPI 1316801004 (713) 796-9955

Trumen Physicians And Associates PLLC

18 mi

Geriatric Medicine

2626 S LOOP W STE 265
Houston, TX 77054

Reassigned Medicare billing, Texas enrollment
158 clinicians in this Medicare group

NPI 1134442320 (713) 242-7707

Houston Methodist Specialty Physicians

20 mi

Otolaryngology

7550 GREENBRIAR DR STE 600
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
1,579 clinicians in this Medicare group

NPI 1902614332 (281) 414-6055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

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.

421 services233 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

324 services183 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

292 services160 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

238 services173 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

72 services71 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.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Memorial Hermann Sugar Land Hospital

Acute Care Hospitals · Sugar Land, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450848

Location17500 W Grand Parkway SouthSugar Land, TX 77479 · Fort Bend County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 7

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

KANAPORN TEMRUTRYNIT DO

Family Medicine