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SHYRETHA JOHNSON APRN, BC PMHNP
NPI 1922404698
Nurse Practitioner - Psychiatric/Mental Health in Honolulu, HI

Active since November 07, 2014PECOS Enrolled
928 NUUANU AVE STE 1, HONOLULU, HI 96817(808) 777-9460(808) 217-9174 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shyretha Johnson Aprn, Bc Pmhnp NPPES

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

SHYRETHA JOHNSON APRN, BC PMHNP (NPI 1922404698) is an individual psychiatric/mental health provider in Honolulu, Hawaii, licensed in Texas (1088061) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922404698
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHYRETHA JOHNSONCredential: APRN, BC PMHNP
Location Address928 NUUANU AVE STE 1Honolulu, HI 96817-5190
Mailing Address928 Nuuanu Ave Ste 1Honolulu, HI 96817-5190 · (808) 777-9460 · Fax (808) 217-9174
Phone(808) 777-9460
Fax(808) 217-9174
Sole ProprietorNo
Enumeration DateNovember 7, 2014
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1922404698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1088061
928 NUUANU AVE STE 1, Honolulu, HI 96817
Open in Google Maps ↗

Other Identifiers 1

OtherAPRN-51690HI · State Of Hawaii

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shyretha Johnson Aprn, Bc Pmhnp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shyretha Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
0.7 mi
Psychiatric/Mental Health
524 KEAWE ST # 521
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 15 clinicians in this Medicare group
NPI 1891082376 (808) 777-9460
George Mackel, Pmhnp-Bc, LLC
210 mi
Rural Health
73 PUUHONU PL STE 104
Hilo, HI 96720
  • Reassigned Medicare billing, Hawaii enrollment
  • 17 clinicians in this Medicare group
NPI 1184583585 (808) 867-8002

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96817 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

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 Shyretha Johnson's NPI number?

The NPI number for Shyretha Johnson is 1922404698. It was assigned to this individual provider in the NPPES registry on November 7, 2014.

Where is Shyretha Johnson located?

Shyretha Johnson practices at 928 Nuuanu Ave Ste 1, Honolulu, HI 96817. The listed phone number is (808) 777-9460.

What is Shyretha Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shyretha Johnson enrolled in Medicare?

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

Which organizations bill Medicare for Shyretha Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shyretha Johnson reassigns Medicare benefits to 2 organizations: (Honolulu, HI) and George Mackel, Pmhnp-Bc, LLC (Hilo, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shyretha Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shyretha Johnson accept?

Health plans from HMSA list Shyretha 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.

When was this NPI record last updated?

The NPPES record for Shyretha Johnson was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.