Individual provider Active NPI

Shanice Mosley Johnson, RN, BSN, MSN-FNP-C

  • Family Nurse Practitioner
  • Des Moines, IA
National Provider Identifier
1447998166
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A168896 Issued in IA
Practice address
1201 Pennsylvania Ave
Des Moines, IA 50316-2339
Phone
(515) 505-2937
NPI assigned
May 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X A168896 IA
Family Nurse Practitioner 363LF0000X A168896 IA Primary

Addresses

Primary practice location

1201 Pennsylvania Ave
Des Moines, IA 50316-2339

Mailing address

1260 Amazing PL NW
Altoona, IA 50009-1059
Phone (515) 505-2937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20220718002873 IA Practitioner - Nurse Practitioner 1153702444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

1201 Pennsylvania Ave
Des Moines, IA 50316-2339
Phone (515) 266-1000

Hospital & facility affiliations

  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Aug 15, 2022 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

6520 SE 14th St
Des Moines, IA 50320
Phone (515) 256-4242

1201 Pennsylvania Ave
Des Moines, IA 50316
Phone (515) 266-1000

2103 Ingersoll Ave
Ste 2
Des Moines, IA 50312
Phone (515) 323-5680

2301 E 14th St
Des Moines, IA 50316
Phone (515) 261-0404

5200 100th St
Urbandale, IA 50322
Phone (515) 265-4211

950 E Hickman Rd
Waukee, IA 50263
Phone (515) 987-8256

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

180 Jordan Creek Pkwy
Ste 120
West Des Moines, IA 50266
Phone (515) 224-5868

Interoperability endpoints

  • Direct secure messaging: sjohnson889667@direct.unitypoint.org

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1447998166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 AMAZING PL NW",
            "city": "ALTOONA",
            "state": "IA",
            "postal_code": "500091059",
            "telephone_number": "515-505-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PENNSYLVANIA AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162339",
            "telephone_number": "515-505-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHANICE",
        "middle_name": "MOSLEY",
        "credential": "RN, BSN, MSN-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IA",
            "license": "A168896",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A168896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.