SHANNON L JOHNSON (CNP, APRN, CNS-RX) – Family Nurse Practitioner, NPI 1639166499
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for SHANNON L JOHNSON (CNP, APRN, CNS-RX)
5300, North Independence Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States
STE. 280
OKLAHOMA CITY, OK 731125556
Phone: (405) 425-8100
Fax: (405) 425-8109
Type: Mailing
1600, Southwest 119th Street, Oklahoma City, Cleveland County, Oklahoma, 73170, United States
OKLAHOMA CITY, OK 731704908
Phone: (405) 425-8100
Fax: (405) 425-8109
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $386.
Total Amount is formed as General ($386) + Research ($0) + Ownership ($0) = $386.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($363).
Total Amount
$386
General + Research + Ownership
Payments
15
Total payment records
General Amount
$386
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $363 |
| Fresenius USA Marketing, Inc. | $22 |
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: 2012-10-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121026000250 | I | Nurse Practitioner | OK | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 90 | 42 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 37 | 26 | $0 |
Insurance plans in this area (ZIP 73112)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Nephrology | OK |
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