Shavaun Johnson, NP - Medicare Nurse Practitioner in Queen Creek, AZ

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Shavaun Johnson, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Queen Creek, Arizona. Her current practice location is 21168 E Ocotillo Rd # 1045, Queen Creek, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 265-6220.

Shavaun Johnson is licensed to practice in Missouri (license number 2024022030) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1225624729.

Contact Information

Shavaun Johnson, NP
21168 E Ocotillo Rd # 1045,
Queen Creek, AZ 85142-8175
(623) 265-6220
(866) 491-7389

Map and Direction




Provider's Profile

Full NameShavaun Johnson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location21168 E Ocotillo Rd # 1045, Queen Creek, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1225624729
  • Provider Enumeration Date: 12/18/2020
  • Last Update Date: 12/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7113320177
  • Enrollment ID: I20210728001658

Medical Identifiers

Medical identifiers for Shavaun Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225624729NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 2024022030 (Missouri)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 251493 (Arizona)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shavaun Johnson allows following entities to bill medicare on her behalf.
Entity NameSouthwest Behavioral Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144384389
PECOS PAC ID: 9739075854
Enrollment ID: O20040225000948
Entity NameJewish Family & Childrens Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023174455
PECOS PAC ID: 9234028671
Enrollment ID: O20040312001009
Entity NameSynovation Integrated Partners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013565548
PECOS PAC ID: 6103254347
Enrollment ID: O20200321000181
Entity NameLight At The End Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114690401
PECOS PAC ID: 0244675403
Enrollment ID: O20240227002695

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. Shavaun 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
Shavaun Johnson, NP
21168 E Ocotillo Rd # 1045,
Queen Creek, AZ 85142-8175

Ph: (623) 265-6220		Shavaun Johnson, NP
21168 E Ocotillo Rd # 1045,
Queen Creek, AZ 85142-8175

Ph: (623) 265-6220

Reviews and Comments


Nurse Practitioner Nurses in Queen Creek, AZ

Jena Patrice Boynton, WHNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 21321 E Ocotillo Rd, Suite 127, Queen Creek, AZ 85242
Phone: 480-888-7271    Fax: 480-888-7904
Tanya Nicole Turner, F.N.P-C.
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Practice Location: 20715 E Ocotillo Rd, Ste. 102, Queen Creek, AZ 85142
Phone: 480-987-0987    Fax: 480-987-0940
Daniella Rochelle Cleveland, FNP
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Practice Location: 37000 N Gantzel Rd, Queen Creek, AZ 85140
Phone: 480-394-4000    
Amber Lynee Allen,
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Medicare: Medicare Enrolled
Practice Location: 22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142
Phone: 480-792-9200    
Mary Katherine Argenbright, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 8495 S Power Rd Ste 103, Queen Creek, AZ 85142
Phone: 480-677-8282    Fax: 844-470-2777
Yva Jean-marc, NP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 22707 S Ellsworth Rd Ste H101, Queen Creek, AZ 85142
Phone: 480-792-9200    
Erica Monique Sipe,
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Medicare: Not Enrolled in Medicare
Practice Location: 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142
Phone: 480-987-5525    Fax: 480-987-5115

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.