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DR. SAMANTHA K JOHNSON DC
NPI 1124548201
Chiropractor in Ellsworth, WI

Active since June 21, 2017Accepts Medicare Assignment
187 EAST MAIN, ELLSWORTH, WI 54011(715) 273-4115 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Samantha K Johnson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA K JOHNSON DC (NPI 1124548201) is an individual chiropractor in Ellsworth, Wisconsin, licensed in Wisconsin (5286-12) and active in the NPI registry since June 2017. She is a graduate of Northwestern College Of Chiropractic (2017).

NPPES Registry Identity

NPI1124548201
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameDR. SAMANTHA K JOHNSONCredential: DC
Location Address187 EAST MAINEllsworth, WI 54011
Mailing AddressPo Box 668Ellsworth, WI 54011-0668 · (715) 273-4115
Phone(715) 273-4115
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2017
Enumeration DateJune 21, 2017
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1124548201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5286-12
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
187 EAST MAIN, Ellsworth, WI 54011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha K Johnson Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729350061
PECOS Enrollment IDI20170821002385

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ellsworth Chiropractic Inc
Same address
Chiropractor
187 E MAIN ST
Ellsworth, WI 54011
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1659557510 (715) 273-4115
Ellsworth Chiropractic & Wellness LLC
0.2 mi
Chiropractor
187 E MAIN ST
Ellsworth, WI 54011
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1235927930 (715) 273-4115

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
60 services24 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Johnson's NPI number?

The NPI number for Samantha Johnson is 1124548201. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Samantha Johnson located?

Samantha Johnson practices at 187 East Main, Ellsworth, WI 54011. The listed phone number is (715) 273-4115.

What is Samantha Johnson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Samantha Johnson enrolled in Medicare?

Yes. Samantha Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samantha Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Johnson reassigns Medicare benefits to 2 organizations: Ellsworth Chiropractic Inc (Ellsworth, WI) and Ellsworth Chiropractic & Wellness LLC (Ellsworth, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and HealthPartners list Samantha Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Johnson was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.