MS. SHANNON LYNNE JOHNSON (NP-C) – Adult Health Nurse Practitioner, NPI 1417158296

MS. SHANNON LYNNE JOHNSON (NP-C) is a healthcare provider. based in East boston, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 262820 (MA). The NPI Number for MS. SHANNON LYNNE JOHNSON (NP-C) is 1417158296

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MS. SHANNON LYNNE JOHNSON (NP-C)
NPI
1417158296
Phone
(617) 569-5800
Address
10 GOVE ST
Enumeration Date
30 May 2007
Last Update Date
1 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9783048380
Graduation Year
2006 (20 years ago)
PAC ID
5597859272
Group Practice PAC ID
7719291434
Professional Enrollment ID
I20070926000320
Address ID
MA019302283GL305XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

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Provider Addresses for MS. SHANNON LYNNE JOHNSON (NP-C)

  • East Boston Neighborhood Health Center, 10, Gove Street, East Boston, Boston, Suffolk County, Massachusetts, 02152, United States

    EAST BOSTON, MA 021281920

    Phone: (617) 569-5800

    Fax: (617) 568-4780

    Mailing address matches the actual address.

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 $32.

Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($32).

Total Amount

$32

General + Research + Ownership

Payments

1

Total payment records

General Amount

$32

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2007-09-26

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
I20070926000320INurse PractitionerMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8585$0
View full utilization report →

Insurance plans in this area (ZIP 02128)

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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: 7719291434View full group profile
NameSpecialtyState
Family PracticeMA
Nurse PractitionerMA
Nurse PractitionerMA
Family PracticeMA
Internal MedicineNH
Nurse PractitionerMA
Family PracticeMA
Family PracticeMA
Physician AssistantMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the registry number for MS. SHANNON LYNNE JOHNSON (NP-C)?
The registry entry for MS. SHANNON LYNNE JOHNSON (NP-C) shows NPI 1417158296.
Quick check: is MS. SHANNON LYNNE JOHNSON (NP-C) active?
Public NPPES data shows MS. SHANNON LYNNE JOHNSON (NP-C) with an active NPI status right now.
What type of care does MS. SHANNON LYNNE JOHNSON (NP-C) provide?
MS. SHANNON LYNNE JOHNSON (NP-C)'s profile centers on Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MS. SHANNON LYNNE JOHNSON (NP-C)?
The directory associates MS. SHANNON LYNNE JOHNSON (NP-C) with East Boston, Massachusetts. Check all listed addresses for suites or satellite offices.
Why is information missing for MS. SHANNON LYNNE JOHNSON (NP-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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