SAMANTHA JULIANNE JOHNSON NP
NPI 1194365999
Nurse Practitioner - Acute Care in Fridley, MN
About Samantha Julianne Johnson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JULIANNE JOHNSON NP (NPI 1194365999) is an individual acute care provider in Fridley, Minnesota, licensed in Minnesota (7209) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Robbinsdale, and is a graduate of Emory University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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 Julianne 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 Reassignment
Medicare enrollment records show Samantha Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fridley, MN 55432
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1912203365 (Minnesota)
- 3,733 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.
Areas of Expertise CMS Part B claims 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55432 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1194365999. It was assigned to this individual provider in the NPPES registry on January 9, 2020.
Where is Samantha Johnson located?
Samantha Johnson practices at 550 Osborne Rd NE, Fridley, MN 55432. The listed phone number is (763) 236-5000.
What is Samantha Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
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 organization bills Medicare for Samantha Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Johnson reassigns Medicare benefits to Allina Health System (Fridley, MN). The 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 HealthPartners and Medica 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 November 2, 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 Julianne Johnson, NP · NPI 1194365999
Acute Care physician in Fridley, Minnesota. Individual provider, active in the CMS NPPES registry since January 9, 2020.
## Identity
- **NPI:** 1194365999 (Entity type: Individual)
- **Enumerated:** January 9, 2020
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 7209 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 OSBORNE RD NE, Fridley, MN 55432-2718
- **Phone:** (763) 236-5000
## 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:** Allina Health System (NPI 1619910692, Fridley, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** November 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194365999) · Data from the CMS NPPES public registry.