Shayna Johnson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9379136 Issued in FL

Practice address

33825 Secret Hill Dr
Leesburg, FL 34788-3845

Phone

(231) 760-7330

NPI assigned

Oct 2, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

NP Health of FL LLCGroup PAC ID 2365867165, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Buffalo Crossings Healthcare & Rehabilitation Cen Nursing home, The Villages, FL, CCN 106114

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• NP Health of FL LLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1790393874

  FL

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Mississippi-TCG, Inc.

  • Internal Medicine Physician
  • Brentwood, TN
  • NPI 1386122877

  FL

  Medicare reassignment NPD
• Kenneth Henschel, MD, LLC

  • Neurology Physician
  • Leesburg, FL
  • NPI 1003371378
  NPD (past)
• Quality Physician Group PLLC

  • Internal Medicine Physician
  • Leesburg, FL
  • NPI 1164906871
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BC SNF, LLC

  • Skilled Nursing Facility
  • The Villages, FL
  • NPI 1740949122

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1245871128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10123 US HIGHWAY 441",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883952",
            "telephone_number": "352-901-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33825 SECRET HILL DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883845",
            "telephone_number": "231-760-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9379136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoinette V Johnson, REGISTERED MENTAL HE
• Kimberley K Johnson
• Leonard Johnson
• Martina Johnson
• Rosemary Johnson, CRNA
• Tanisha Marie Johnson
• Kathleen Jones-Shupe
• Ethel Bernadine Jones
• Lynn C Jones, OT
• Thomas H. Jones, PA-C

• Family Nurse Practitioner in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.