Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811675317 Individual Practitioner Female Practitioner

Shannon Johnson , PA

Physician Assistant • Glen Ellyn, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannon Johnson, PA is a certified Physician Assistant practicing in Glen Ellyn, IL. With approximately 2 years of clinical experience since completing medical education in 2024, Shannon Johnson delivers high-quality medical care to the local community at 430 PENNSYLVANIA AVE STE 240.

Shannon Johnson is affiliated with Dupage Medical Group Ltd and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

430 Pennsylvania Ave Ste 240

Glen Ellyn, IL 601374464

Telephone 6307901872
Fax 6305457850
Associated Practice Facility / Clinic
🏢 Dupage Medical Group Ltd Facility NPI 1760979447

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Glen Ellyn, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -5.2 yrs vs City Avg
City Avg: 7.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
13 Specialists

Practicing in Glen Ellyn, IL (4958 Statewide)

Telehealth Adoption Rate
15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (2 Years) 2 Yrs
Glen Ellyn Specialty Average (7.2 Years) 7.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-04-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-010958

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Dupage Medical Group Ltd

1800 N Main St, Wheaton, IL 601873149

Phone: 6306656200

Dupage Medical Group Ltd

430 Pennsylvania Ave, Glen Ellyn, IL 601374464

Phone: 6304699200

Dupage Medical Group Ltd

100 Spalding Dr, Naperville, IL 605406550

Phone: 6303558000

Secondary Practice Locations

10900 Euclid Ave

Cleveland, OH 441061712

Phone: 2163680575

Practice Associates & Co-Workers

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

40 Associated Practitioners
Karen Shelton , RSA

Specialist/Technologist, Other - Surgical Assistant

NPI 1003047770
Dr. Chris Huang , MD

Orthopaedic Surgery

NPI 1013110519

Doctor of Medicine (M.D.)

Marek Myslinski , RSA, CSFA

Specialist/Technologist, Other - Surgical Assistant

NPI 1023475605
Jannalynne Beilke-Skoug , PA-C

Physician Assistant - Surgical

NPI 1023626769

Physician Assistant (Certified)

Kevin Vermeer , FNP

Nurse Practitioner

NPI 1033839378

Family Nurse Practitioner

Daniel Blaney , PA-C

Physician Assistant

NPI 1063940823

Physician Assistant (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 25, 2025

Registered at 430 PENNSYLVANIA AVE STE 240, GLEN ELLYN, IL 601374464 (Tel: 6307901872)

📍
Updated Business Mailing Address April 25, 2025

Registered at POB 7132960, CHICAGO, IL 606770001 (Tel: 6304699200)

👤
Provider Name / Credentials Updated April 25, 2025

Recorded as SHANNON JOHNSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2025

Physician Assistant (License #085-010958 in IL)

NPI Profile Active July 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2023

Registered at 10900 EUCLID AVE, CLEVELAND, OH 441061712 (Tel: 2163680575)

📍
Updated Business Mailing Address July 06, 2023

Registered at 10900 EUCLID AVE, CLEVELAND, OH 441061712

👤
Provider Name / Credentials Updated July 06, 2023

Recorded as SHANNON JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 06, 2023

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: 1811675317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2023
Last Update: April 25, 2025
Sole Proprietor: No

Mailing Address

Pob 7132960

Chicago, IL 606770001

Phone: 6304699200

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.