Shelley L Johnson, APNP in Mount Pleasant, WI

Shelley L Johnson, APNP is a medicare enrolled "Nurse Practitioner" in Mount Pleasant, Wisconsin. She graduated from nursing school in 2009 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Froedtert South Inc and her current practice location is 4817 Copper Leaf Blvd, Mount Pleasant, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (307) 331-0855.

Shelley L Johnson is licensed to practice in Wisconsin (license number 3976) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750603130.

Contact Information

	Shelley L Johnson, APNP
	4817 Copper Leaf Blvd, Mount Pleasant, WI 53403-4100
	(307) 331-0855
	(262) 577-8321

Map and Direction

Provider's Profile

Full Name	Shelley L Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	4817 Copper Leaf Blvd, Mount Pleasant, 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.

Medical Education and Training:

Shelley L Johnson graduated from nursing school in 2009

NPI Data:

NPI Number: 1750603130
Provider Enumeration Date: 02/25/2010
Last Update Date: 03/12/2026

Medicare PECOS Information:

PECOS PAC ID: 7012049844
Enrollment ID: I20100714000767

Medical Identifiers

Medical identifiers for Shelley L Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750603130	NPI	-	NPPES
K400194647	Other	WI	MEDICARE( FROEDTERT SOUTH)
1750603130	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1750603130 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	3976 (Wisconsin)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2025070556 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
United Hospital System	Kenosha, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Froedtert South Inc	9537071196	155

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. Shelley L Johnson allows following entities to bill medicare on her behalf.

Entity Name	Froedtert South Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558305284 PECOS PAC ID: 9537071196 Enrollment ID: O20031103000493

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

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. Shelley L 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 Address	Practice Location Address
Shelley L Johnson, APNP 4817 Copper Leaf Blvd, Mount Pleasant, WI 53403-4100 Ph: (307) 331-0855	Shelley L Johnson, APNP 4817 Copper Leaf Blvd, Mount Pleasant, WI 53403-4100 Ph: (307) 331-0855

Reviews and Comments

Nurse Practitioner Nurses in Mount Pleasant, WI

Rachel R Gage, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-321-3150
Dean Tajnai, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406 Phone: 262-884-4000
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Stephanie L Ruskell, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Spring St Ste 240, Mount Pleasant, WI 53405 Phone: 262-687-8108
Elizabeth M Cavanaugh, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 Spring St Ste 410, Mount Pleasant, WI 53405 Phone: 262-687-8260
Anne Stoltenberg, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3821 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-8460
Mrs. Sarah Katherine Kordus, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 888-720-2012

Shelley L Johnson, APNP - Medicare Nurse Practitioner in Mount Pleasant, WI