Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shanna Patricia Johnson

Individual provider Acute Care Nurse Practitioner · NPI 1942954367

Shanna Patricia Johnson is a Nurse Practitioner in Scottsdale, Arizona. Qualified in 2020, 6 years ago. Practices with Privia Medical Group Arizona, LLC, a 96-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

7151 E Rancho Vista Dr Unit 1012
Scottsdale, AZ 85251-1588
Phone: (503) 970-9582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN148985 (AZ)

Record details

NPI number1942954367
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 4, 2022
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Privia Medical Group Arizona, Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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