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

Shawn Johnson

Individual provider Nurse Practitioner · NPI 1679245898

Shawn Johnson is a Nurse Practitioner in Mauston, Wisconsin. Qualified in 2021, 5 years ago. Practices with Mile Bluff Medical Center Inc, a 83-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021

Practice location Address checks out

1050 Division St
Mauston, WI 53948-1931
Phone: (608) 847-6161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11562-33 (WI)

Record details

NPI number1679245898
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 5, 2021
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021
Mailing address1050 Division St, Mauston, WI 53948-1931

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mile Bluff Medical Center Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mauston