SAMANTHA P JOHNSON NP
NPI 1194580175
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY
About Samantha P Johnson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA P JOHNSON NP (NPI 1194580175) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (F405201-01) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha P Johnson Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
Brooklyn, NY 11210
- Reassigned Medicare billing, New York enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11214 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.
BROOKLYN, NY 11214
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 1194580175. It was assigned to this individual provider in the NPPES registry on February 19, 2024.
Where is Samantha Johnson located?
Samantha Johnson practices at 8620 18th Ave, Brooklyn, NY 11214. The listed phone number is (718) 256-8818.
What is Samantha Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Samantha Johnson enrolled in Medicare?
Yes. Samantha Johnson is registered in the Medicare PECOS enrollment system.
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 Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC (Brooklyn, NY). 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.
When was this NPI record last updated?
The NPPES record for Samantha Johnson was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 P Johnson, NP · NPI 1194580175
Psychiatric/Mental Health physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since February 19, 2024.
## Identity
- **NPI:** 1194580175 (Entity type: Individual)
- **Enumerated:** February 19, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** F405201-01 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8620 18TH AVE, Brooklyn, NY 11214-3702
- **Phone:** (718) 256-8818
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC (NPI 1770442196, Brooklyn, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194580175) · Data from the CMS NPPES public registry.