Shannon Johnson, PA
NPI 1811675317 · Physician Assistant · Glen Ellyn, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Johnson, PA is a Physician Assistant provider in Glen Ellyn, IL (NPI 1811675317).
Provider details
- NPI number
- 1811675317
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 085-010958 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 10900 Euclid AveCleveland, OH 44106-1712Phone: (216) 368-0575
Registry dates
- Enumerated
- 2023-07-06
- Last updated
- 2025-04-25
- Certified
- 2025-04-25
Frequently asked questions
- What is Shannon Johnson's NPI number?
- Shannon Johnson's National Provider Identifier (NPI) is 1811675317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Johnson's specialty?
- Shannon Johnson is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Johnson located?
- Shannon Johnson's practice location on file with NPPES is 430 Pennsylvania Ave Ste 240, Glen Ellyn, IL 60137-4464.
- What is Shannon Johnson's phone number?
- The practice phone number listed in the NPPES registry for Shannon Johnson is (630) 790-1872.
- Does Shannon Johnson accept Medicare?
- Shannon Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Johnson's NPI active?
- Yes — Shannon Johnson's NPI (1811675317) is active in the NPPES registry as of the last update on 2025-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.