SHELLY L JOHNSEN MD
NPI 1922016690
Family Medicine in Manitowoc, WI

Q: What is Shelly Johnsen's NPI number?

The NPI number for Shelly Johnsen is 1922016690. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Q: What is Shelly Johnsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelly Johnsen was last updated on September 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 August 04, 2006PECOS Enrolled

3509 DEWEY ST, MANITOWOC, WI 54220(920) 686-5731 Get Directions Write a Review

NPPES record last updated: September 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Shelly L Johnsen Md NPPES

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

SHELLY L JOHNSEN MD (NPI 1922016690) is an individual family medicine provider in Manitowoc, Wisconsin, licensed in Wisconsin (45814020) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922016690

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHELLY L JOHNSENCredential: MD

Location Address3509 DEWEY STManitowoc, WI 54220

Mailing Address3509 Dewey StManitowoc, WI 54220-5813 · (920) 686-5731

Phone(920) 686-5731

Sole ProprietorNo

Enumeration DateAugust 4, 2006

Last NPPES UpdateSeptember 4, 2018

✔ NPI 1922016690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 45814020

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3509 DEWEY ST, Manitowoc, WI 54220

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Other Identifiers 2

Medicaid1922016690WI

Other13487Dean Health Plan Hmo

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly L Johnsen Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 16

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

KAYLEE LYNN HAWKS FNP-C

Nurse Practitioner