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Active NPI 1750603130 Individual Practitioner Female Practitioner

Shelley L Johnson , APNP

Nurse Practitioner • Mount Pleasant, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shelley Johnson, APNP is a certified Nurse Practitioner practicing in Mount Pleasant, WI. With approximately 17 years of clinical experience since completing medical education in 2009, Shelley Johnson delivers high-quality medical care to the local community at 4817 COPPER LEAF BLVD.

Shelley Johnson is affiliated with Froedtert South Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4817 Copper Leaf Blvd

Mount Pleasant, WI 534034100

Telephone 3073310855
Fax 2625778321

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mount Pleasant, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +4.8 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
35 Specialists

Practicing in Mount Pleasant, WI (4030 Statewide)

Telehealth Adoption Rate
22.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Johnson (17 Years) 17 Yrs
Mount Pleasant Specialty Average (12.2 Years) 12.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
216 126 $373.00 $102.58
99213 Established patient office or other outpatient visit, typically 15 minutes
28 23 $256.00 $72.75

Medical Specialties & State Licenses

CMS Verified: 2026-03-12
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 3976

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 1750603130

Definition to come...

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License WI 2025070556

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1750603130 (WI)
Commercial Insurance / Payer ID Medicare( Froedtert South)
K400194647 (WI)

Hospital & Practice Group Affiliations

Froedtert South Inc

9555 76th St, Pleasant Prairie, WI 531581984

Phone: 2625778300

Practice Associates & Co-Workers

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

1 Associated Practitioners
Teraya Franklin , FNP-C

Nurse Practitioner - Family

NPI 1881056471

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location March 12, 2026

Registered at 4817 COPPER LEAF BLVD, MOUNT PLEASANT, WI 534034100 (Tel: 3073310855)

📍
Updated Business Mailing Address March 12, 2026

Registered at 4817 COPPER LEAF BLVD, MOUNT PLEASANT, WI 534034100 (Tel: 3073310855)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 12, 2026

Nurse Practitioner (License #1750603130 in WI)

📍
Updated Practice Location May 31, 2018

Registered at 9697 SAINT CATHERINES DR # 300, PLEASANT PRAIRIE, WI 53158 (Tel: 2625778320)

NPI Profile Active February 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2015

Registered at 9555 76TH ST, PLEASANT PRAIRIE, WI 531581984 (Tel: 2625778300)

📍
Updated Business Mailing Address February 03, 2015

Registered at 9555 76TH ST, PLEASANT PRAIRIE, WI 531581984 (Tel: 2625778300)

👤
Provider Name / Credentials Updated February 03, 2015

Recorded as SHELLEY JOHNSON, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2015

Nurse Practitioner (License #3976 in WI)

🟢
Initial NPI Registration & Enumeration February 25, 2010

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: 1750603130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2010
Last Update: March 12, 2026
Sole Proprietor: No

Mailing Address

4817 Copper Leaf Blvd

Mount Pleasant, WI 534034100

Phone: 3073310855

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.