| Ms Shanna Marie Johnson, NP | |
|
10625 W North Ave Ste 230, Milwaukee, WI 53226-2315 | |
| (414) 249-5698 | |
| (320) 207-5719 |
| Full Name | Ms Shanna Marie Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 10625 W North Ave Ste 230, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386940575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 197266-30 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 14417-33 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 414 |
| Entity Name | Horizon Healthcare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225052830 PECOS PAC ID: 0749182160 Enrollment ID: O20040124000318 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191118000551 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20220331000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Shanna Marie Johnson, NP 10625 W North Ave Ste 230, Milwaukee, WI 53226-2315 Ph: (414) 249-5698 | Ms Shanna Marie Johnson, NP 10625 W North Ave Ste 230, Milwaukee, WI 53226-2315 Ph: (414) 249-5698 |
Ms. Leslie L. Talbert, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Critical Care, Milwaukee, WI 53226 Phone: 414-266-3360 Fax: 414-266-3563 | |
Andrienne M Delaney, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10701 W Research Dr, Milwaukee, WI 53226 Phone: 262-366-2903 Fax: 888-288-4890 | |
Mrs. Karen Elizabeth Mcnerney, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1555 N Rivercenter Dr Ste 206, Milwaukee, WI 53212 Phone: 414-231-1180 Fax: 414-272-5617 | |
Mrs. Anne E B Lakatos, APN-BC, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Dept Of Internal Medicine, Milwaukee, WI 53226 Phone: 414-805-6850 Fax: 414-805-6851 | |
Mrs. Amanda M Manders, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-6850 Fax: 414-805-6864 | |
Tracy L Kersten, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-4600 Fax: 414-805-6808 | |
Ms. Michelle Seavers, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5000 W National Ave, Milwaukee, WI 53295 Phone: 414-384-2000 |