Shannon Johnson, - Medicare Nurse Practitioner in West Bend, WI

Shannon Johnson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in West Bend, Wisconsin. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 111 E Washington St, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 338-2717.

Shannon Johnson is licensed to practice in Wisconsin (license number 18294-33) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1184568123.

Contact Information

Shannon Johnson,
111 E Washington St,
West Bend, WI 53095-2571
(262) 338-2717
Not Available

Map and Direction




Provider's Profile

Full NameShannon Johnson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location111 E Washington St, West Bend, Wisconsin
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shannon Johnson graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1184568123
  • Provider Enumeration Date: 04/20/2026
  • Last Update Date: 04/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4789153321
  • Enrollment ID: I20260513002472

Medical Identifiers

Medical identifiers for Shannon Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184568123NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 18294-33 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Johnson,
5761 N River Forest Dr,
Glendale, WI 53209-4521

Ph: () -
Shannon Johnson,
111 E Washington St,
West Bend, WI 53095-2571

Ph: (262) 338-2717

Reviews and Comments


Nurse Practitioner Nurses in West Bend, WI

Tammy L Schladweiler, APNP
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Practice Location: 1100 Gateway Ct, West Bend, WI 53095
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Alyssa Sekadlo,
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Medicare: May Accept Medicare Assignments
Practice Location: 111 E Washington St, West Bend, WI 53095
Phone: 262-338-2717    Fax: 262-338-9767
Jennifer Nicole Thomson, APNP
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Practice Location: 1700 W Paradise Dr, West Bend, WI 53095
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Dr. Shanice S Kukuck, APNP
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Medicare: May Accept Medicare Assignments
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Phone: 262-334-3451    
Monica Katherine Binder, DNP, APNP, FNP-BC
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Medicare: Accepting Medicare Assignments
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Phone: 262-334-3451    
Casey L Nolan, NP
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Medicare: Not Enrolled in Medicare
Practice Location: 3200 Pleasant Valley Rd, Internal Medicine, West Bend, WI 53095
Phone: 262-836-7300    Fax: 262-836-7301

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.