Active NPI
Shauna Kristen Johnson, APRN
- Family Nurse Practitioner
- Hodgenville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3011478
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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 IncPT Pros, Inc
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 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | 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.
-
- Family Medicine Physician
- Paducah, KY
- NPI 1922401611
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Internal Medicine Physician
- Elizabethtown, KY
- NPI 1093338527
-
- Rural Health Clinic/Center
- Benton, KY
- NPI 1487210654
-
- Rural Health Clinic/Center
- Hodgenville, KY
- NPI 1770188211
-
- Community/Behavioral Health Agency
- Springfield, KY
- NPI 1083751424
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Hardin
- General Acute Care Hospital
- Elizabethtown, KY
- NPI 1689282147
-
dba Caretenders
- Home Health Agency
- Elizabethtown, KY
- NPI 1992958250
-
dba CenterWell Home Health
- Home Health Agency
- Elizabethtown, KY
- NPI 1598748600
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
- Hodgenville Clinic
- Hodgenville Family Dentistry
- Joseph Andrew Hurst
- Inside Out, LLC
- Brittain Cole Jackson, PHARMD
- Larue County Board of Education
- Larue County County Treasurer (Larue County EMS)
- Larue County Geriatric Center, Inc. (Sunrise Manor)
- Mariah Lavere
- Lincoln Trail District Health Department (LaRue County Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.