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Active NPI 1689265571 Individual Practitioner Female Practitioner

Shaileen Johnson , FNP-C

Nurse Practitioner • Pueblo, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shaileen Johnson, FNP-C is a certified Nurse Practitioner practicing in Pueblo, CO. With approximately 6 years of clinical experience since completing medical education in 2020, Shaileen Johnson delivers high-quality medical care to the local community at 1304 N GRAND AVE.

Shaileen Johnson maintains professional affiliations with Poudre Valley Medical Group Llc, Parkview Ancillary Services Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, ketorolac tromethamine, per 15 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1304 N Grand Ave

Pueblo, CO 810032718

Telephone 7195622360
Associated Practice Facility / Clinic
🏢 Ent Clinic Of Pueblo Prof Llc Facility NPI 1376595504

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Pueblo, CO

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -4.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 11.3 Yrs
Regional Practice Density
56 Specialists

Practicing in Pueblo, CO (1283 Statewide)

Telehealth Adoption Rate
10.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (6 Years) 6 Yrs
Pueblo Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
214 137 $326.97 $150.13
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
180 18 $3.00 $0.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
147 83 $237.31 $108.23
J1885 Injection, ketorolac tromethamine, per 15 mg
80 18 $3.00 $0.49
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
38 19 $37.25 $9.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
14 14 $405.76 $188.03

Medical Specialties & State Licenses

CMS Verified: 2021-07-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CO 0996289

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID None
NONE

Hospital & Practice Group Affiliations

Parkview Ancillary Services Corporation

1619 N Greewood, Pueblo, CO 810032655

Phone: 7195957760

Poudre Valley Medical Group Llc

4404 Barranca Ln, Castle Rock, CO 801047419

Phone: 7207335260

Parkview Ancillary Services Corporation

1619 N Greenwood St, Pueblo, CO 810032655

Phone: 7195422400

Poudre Valley Medical Group Llc

1600 N Grand Ave, Pueblo, CO 810032757

Secondary Practice Locations

84 S Tequila Dr

Pueblo West, CO 810072083

Phone: 9709781851

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Peter Sykora , DO

Anesthesiology - Pain Medicine

NPI 1366795080

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location July 08, 2021

Registered at 1304 N GRAND AVE, PUEBLO, CO 810032718 (Tel: 7195622360)

📍
Updated Business Mailing Address July 08, 2021

Registered at 1304 N GRAND AVE, PUEBLO, CO 810032718

👤
Provider Name / Credentials Updated July 08, 2021

Recorded as SHAILEEN JOHNSON, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2021

Nurse Practitioner (License #0996289 in CO)

NPI Profile Active February 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 02, 2021

Registered at 84 S TEQUILA DR, PUEBLO WEST, CO 810072083 (Tel: 9709781851)

📍
Updated Business Mailing Address February 02, 2021

Registered at 84 S TEQUILA DR, PUEBLO WEST, CO 810072083

👤
Provider Name / Credentials Updated February 02, 2021

Recorded as SHAILEEN JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2021

Nurse Practitioner (License #XXXX in CO)

🟢
Initial NPI Registration & Enumeration February 02, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689265571
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2021
Last Update: July 08, 2021
Sole Proprietor: No

Mailing Address

1304 N Grand Ave

Pueblo, CO 810032718

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.