Individual provider Active NPI

Shauna Kristen Johnson, APRN

  • Family Nurse Practitioner
  • Hodgenville, KY
National Provider Identifier
1699291211
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3011478 Issued in KY
Practice address
145 Lincoln Dr Ste 101
Hodgenville, KY 42748-9706
Phone
(270) 979-3241
Fax
(270) 706-1920
NPI assigned
Aug 15, 2017
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3011478 KY Primary

Addresses

Primary practice location

145 Lincoln Dr Ste 101
Hodgenville, KY 42748-9706

Mailing address

2552 Locust Grove Rd
Elizabethtown, KY 42701-7653

Other practice location 1

9200 Shelbyville Rd Ste 530
Louisville, KY 40222-5144
Phone (502) 327-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20170830000388 KY Practitioner - Nurse Practitioner 6305119108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

145 Lincoln Dr
Hodgenville, KY 42748-9706

4031 N Dixie Hwy
Suite 104
Elizabethtown, KY 42701-7873
Phone (270) 982-4776

792 Campbellsville Rd
Greensburg, KY 42743-1460
Phone (270) 973-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Dec 6, 2020 Accepting new patients
Baptist Health Medical Group Inc Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Sep 1, 2020 Accepting new patients
Communicare Inc Past Accepting new patients

Locations

96 Future Dr
Corbin, KY 40701

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

145 Lincoln Dr
Hodgenville, KY 42748
Phone (270) 324-3241

145 Lincoln Dr
Ste 101
Hodgenville, KY 42748
Phone (270) 979-3241

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

Organizations & group practices 6

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

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": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1699291211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 LOCUST GROVE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 LINCOLN DR STE 101",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427489706",
            "telephone_number": "270-979-3241",
            "fax_number": "270-706-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 Shelbyville Rd Ste 530",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225144",
            "country_code": "US",
            "telephone_number": "502-327-9100",
            "fax_number": "855-632-8329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SHAUNA",
        "middle_name": "KRISTEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-15",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hodgenville, KY

Sources for this page

Verify at the official NPI Registry.