SHAKEVIA V. JOHNSON (M.D.) – Psychiatry Physician, NPI 1104236850

SHAKEVIA V. JOHNSON (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 55603 (TN). The NPI Number for SHAKEVIA V. JOHNSON (M.D.) is 1104236850

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
SHAKEVIA V. JOHNSON (M.D.)
NPI
1104236850
Phone
(617) 414-5245
Address
1 BOSTON MEDICAL CENTER PLACE
Enumeration Date
3 May 2014
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8772492737
Graduation Year
2013 (13 years ago)
PAC ID
5092008052
Group Practice PAC ID
3870857949
Professional Enrollment ID
I20191115001310
Address ID
TN374041235CH804XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:12State licenses:3Digital endpointsOther names

1,743 PSYCHIATRY in MA

Provider Addresses for SHAKEVIA V. JOHNSON (M.D.)

  • 1 BOSTON MEDICAL CENTER PLACE

    BOSTON, MA 02118

    Phone: (617) 414-5245

    Fax: (617) 414-5520

    Type: Location

  • 901 BROADWAY UNIT 24210

    NASHVILLE, TN 372023990

    Phone: (888) 561-3380

    Fax: (888) 732-6141

    Type: Mailing

  • 4150 CLEMENT ST BLDG 1

    SAN FRANCISCO, CA 941211563

    Phone: (415) 221-4810

    Type: Location

  • 357 Towne Center Pl Ste 400

    Ridgeland, MS 391574844

    Phone: (888) 561-3380

    Fax: (888) 732-6141

    Type: Location

  • 801 ALBANY ST

    FL G

    BOSTON, MA 02119

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alkermes, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$23
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-11-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191115001310IPsychiatryTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11840$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8431$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2423$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870857949View full group profile

Reviews

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Frequently asked questions

How do payers reference SHAKEVIA V. JOHNSON (M.D.)?
For SHAKEVIA V. JOHNSON (M.D.), use NPI 1104236850 as the unique 10-digit identifier.
Would SHAKEVIA V. JOHNSON (M.D.) appear as active to a payer?
You can treat SHAKEVIA V. JOHNSON (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to SHAKEVIA V. JOHNSON (M.D.)?
SHAKEVIA V. JOHNSON (M.D.)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SHAKEVIA V. JOHNSON (M.D.)?
Directory geography for SHAKEVIA V. JOHNSON (M.D.) centers on Boston, Massachusetts.
When was this NPI issued?
Enumeration for SHAKEVIA V. JOHNSON (M.D.) is noted as May 3, 2014 where the registry provides it.

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