Active NPI 1932029089 Individual Practitioner Female Practitioner

Shannan M Johnson , RN

Registered Nurse - General Practice • Pender, NE

Professional Overview & Biography Verified Profile Summary

Shannan Johnson, RN is a registered healthcare professional specializing in Registered Nurse - General Practice in Pender, NE. Practice services are available at 100 HOSPITAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Hospital Dr

Pender, NE 680474507

Telephone 4023853083

Associated Practice Facility / Clinic

🏢 Pender Community Hospital District Facility NPI 1578627196

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse - General Practice in Pender, NE

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Pender, NE (47 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-19

Registered Nurse - General Practice Primary Specialty

NUCC Taxonomy Code: 163WG0000X

State License NE 63929

Definition to come...

Practice Associates & Co-Workers

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

7 Associated Practitioners

Sarah Hanson

Dietitian, Registered

NPI 1184101321

Chelsea Moore , PA

Physician Assistant - Medical

NPI 1326623521

Physician Assistant

Anthony Ridder , APRN

Family Medicine

NPI 1548006489

Advanced Practice Registered Nurse

Carla Smith

Social Worker - Clinical

NPI 1730235755

Trisha Wegner , PLMHP

Counselor - Mental Health

NPI 1740717438

Kennedy Hermelbracht

Physical Therapy Assistant

NPI 1801652193

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 20, 2026

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2026

Registered at 100 HOSPITAL DR, PENDER, NE 680474507 (Tel: 4023853083)

📍

Updated Business Mailing Address July 20, 2026

Registered at 100 HOSPITAL DR, PENDER, NE 680474507 (Tel: 4023854070)

👤

Provider Name / Credentials Updated July 20, 2026

Recorded as SHANNAN JOHNSON, RN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2026

Registered Nurse (License #63929 in NE)

🟢

Initial NPI Registration & Enumeration July 20, 2026

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: 1932029089

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 20, 2026

Last Update: July 20, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 Hospital Dr

Pender, NE 680474507

Phone: 4023854070

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.