MS. SAMANTHA LYNN JOHNSON PNP
NPI 1295219624
Nurse Practitioner - Pediatrics in Saint Louis, MO
About Ms. Samantha Lynn Johnson Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SAMANTHA LYNN JOHNSON PNP (NPI 1295219624) is an individual pediatrics provider in Saint Louis, Missouri, licensed in Missouri (2021048767) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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 (PECOS)
Ms. Samantha Lynn Johnson Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare 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.
Saint Louis, MO 63110
- Reassigned Medicare billing, Missouri enrollment
- 628 clinicians in this Medicare group
Saint Louis, MO 63108
- Reassigned Medicare billing, Illinois enrollment
- 530 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
SAINT LOUIS, MO 63110
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 1295219624. It was assigned to this individual provider in the NPPES registry on September 21, 2018.
Where is Samantha Johnson located?
Samantha Johnson practices at 1 Childrens Pl Div Ped Allergy/Immuno/Pulmo, Saint Louis, MO 63110. The listed phone number is (314) 454-2694.
What is Samantha Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Samantha Johnson enrolled in Medicare?
Yes. Samantha Johnson is registered in the Medicare PECOS enrollment system.
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: Washington University (Saint Louis, MO) and Washington University Physicians In Illinois, Inc (Saint Louis, MO). 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 UnitedHealthcare 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 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ms. Samantha Lynn Johnson, PNP · NPI 1295219624
Pediatrics physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since September 21, 2018.
## Identity
- **NPI:** 1295219624 (Entity type: Individual)
- **Enumerated:** September 21, 2018
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 2021048767 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 CHILDRENS PL, DIV PED ALLERGY/IMMUNO/PULMO, Saint Louis, MO 63110-1002
- **Phone:** (314) 454-2694 · **Fax:** (314) 454-2515
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Washington University (NPI 1194765685, Saint Louis, MO); Washington University Physicians In Illinois, Inc (NPI 1457203135, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2025
- **Other identifiers:** Medicaid 420107218 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1295219624) · Data from the CMS NPPES public registry.