SAMANTHA WYNN JOHNSON NP
NPI 1164141107
Nurse Practitioner - Family in Twin Falls, ID
About Samantha Wynn Johnson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA WYNN JOHNSON NP (NPI 1164141107) is an individual family provider in Twin Falls, Idaho, licensed in Idaho (60408) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Samantha Wynn Johnson Np 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.
Medicare Billing Reassignments
4Medicare enrollment records show Samantha Johnson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Twin Falls, ID 83301
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: St Lukes Clinic LLC
- 322 clinicians in this Medicare group
Jerome, ID 83338
- Reassigned Medicare billing, Idaho enrollment
- 13 clinicians in this Medicare group
Burley, ID 83318
- Reassigned Medicare billing, Idaho enrollment
- 11 clinicians in this Medicare group
Meridan, ID 83642
- Reassigned Medicare billing, Idaho enrollment
- 39 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Magic Valley Medical Center
Acute Care Hospitals · Twin Falls, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 1164141107. It was assigned to this individual provider in the NPPES registry on August 23, 2022.
Where is Samantha Johnson located?
Samantha Johnson practices at 1534 Addison Ave E, Twin Falls, ID 83301. The listed phone number is (831) 801-5141.
What is Samantha Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
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 4 organizations: St Luke's Clinic LLC (Twin Falls, ID), Urgent Care Of Idaho, LLC (Jerome, ID), River View Urgent Care & Medical Center Inc (Burley, ID) and Meridian Advanced Psychiatry , LLC (Meridan, ID). 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 Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health 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.
Is Samantha Johnson affiliated with any hospitals?
According to CMS data, Samantha Johnson is affiliated with St Lukes Magic Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha Johnson was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Samantha Wynn Johnson, NP · NPI 1164141107
Family physician in Twin Falls, Idaho. Individual provider, active in the CMS NPPES registry since August 23, 2022.
## Identity
- **NPI:** 1164141107 (Entity type: Individual)
- **Enumerated:** August 23, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 60408 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 1534 ADDISON AVE E, Twin Falls, ID 83301-5355
- **Phone:** (831) 801-5141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): St Luke's Clinic LLC (NPI 1790718229, Twin Falls, ID); Urgent Care Of Idaho, LLC (NPI 1538578687, Jerome, ID); River View Urgent Care & Medical Center Inc (NPI 1790043693, Burley, ID); Meridian Advanced Psychiatry , LLC (NPI 1609412683, Meridan, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 23, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164141107) · Data from the CMS NPPES public registry.