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SHELBY LYNN JOHNSON
NPI 1902516099
Physician Assistant - Medical in Dallas, TX

Active since November 29, 2022PECOS Enrolled
1411 N BECKLEY AVE STE 363, DALLAS, TX 75203(214) 438-5188 Get Directions Write a Review

NPPES record last updated: February 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2023, Nov 29, 2022 (2 updates tracked since 2022).

About Shelby Lynn Johnson NPPES

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

SHELBY LYNN JOHNSON (NPI 1902516099) is an individual medical provider in Dallas, Texas, licensed in Texas (PA16259) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902516099
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHELBY LYNN JOHNSON
Location Address1411 N BECKLEY AVE STE 363Dallas, TX 75203-1558
Mailing Address1411 N Beckley Ave Ste 363Dallas, TX 75203-1558 · (214) 438-5188
Phone(214) 438-5188
Sole ProprietorNo
Enumeration DateNovember 29, 2022
Last NPPES UpdateFebruary 21, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2023
✔ NPI 1902516099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in TX · PA16259
1411 N BECKLEY AVE STE 363, Dallas, TX 75203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Lynn Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

CIERRA CHARRSE BLACK PA-C
Physician Assistant
1411 N BECKLEY AVE STE 363
DALLAS, TX 75203
Dallas County (214) 305-8667
HALLIE MARIE BROWN PA-C
Physician Assistant (Medical)
1411 N BECKLEY AVE STE 363
DALLAS, TX 75203
Dallas County (214) 946-3687

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 Shelby Johnson's NPI number?

The NPI number for Shelby Johnson is 1902516099. It was assigned to this individual provider in the NPPES registry on November 29, 2022.

Where is Shelby Johnson located?

Shelby Johnson practices at 1411 N Beckley Ave Ste 363, Dallas, TX 75203. The listed phone number is (214) 438-5188.

What is Shelby Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shelby Johnson enrolled in Medicare?

Yes. Shelby Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Johnson was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.