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SAMANTHA JOHNSTON PA-C
NPI 1336514645
Physician Assistant - Medical in Cottonwood, AZ

Active since December 11, 2015PECOS EnrolledAccepts Medicare Assignment
51 BRIAN MICKELSEN PKWY, COTTONWOOD, AZ 86326(928) 639-8132(866) 279-8919 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2026, Jun 16, 2016, Dec 14, 2015 and 1 more (4 updates tracked since 2015).

About Samantha Johnston Pa-c NPPES

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

SAMANTHA JOHNSTON PA-C (NPI 1336514645) is an individual medical provider in Cottonwood, Arizona, licensed in Arizona (6297) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1336514645
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSAMANTHA JOHNSTONCredential: PA-C
Location Address51 BRIAN MICKELSEN PKWYCottonwood, AZ 86326-3610
Mailing Address1090 Commerce DrPrescott, AZ 86305-3700 · (928) 583-1000 · Fax (866) 323-8458
Phone(928) 639-8132
Fax(866) 279-8919
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 11, 2015
Last NPPES UpdateJune 2, 20264 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1336514645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 6297
51 BRIAN MICKELSEN PKWY, Cottonwood, AZ 86326
Open in Google Maps ↗

Other Names 1

Former Name (1)Samantha Gardner Pa-c

Other Identifiers 1

Medicaid090822AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Johnston Pa-c 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 ID2769784842
PECOS Enrollment IDI20160106001707
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims49 services$4.58 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$14.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$78.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHY J. GREEN M.D., M.P.H.
Family Medicine
51 BRIAN MICKELSEN PKWY
COTTONWOOD, AZ 86326
Yavapai County (928) 639-8132
LAUREL A MUELLER DO
Family Medicine
51 BRIAN MICKELSEN PKWY, COMMUNITY HEALTH CENTER OF YAVAPAI
COTTONWOOD, AZ 86326
Yavapai County (928) 639-8132

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 Johnston's NPI number?

The NPI number for Samantha Johnston is 1336514645. It was assigned to this individual provider in the NPPES registry on December 11, 2015. The provider is also known as Samantha Gardner Pa-C.

Where is Samantha Johnston located?

Samantha Johnston practices at 51 Brian Mickelsen Pkwy, Cottonwood, AZ 86326. The listed phone number is (928) 639-8132.

What is Samantha Johnston's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Samantha Johnston enrolled in Medicare?

Yes. Samantha Johnston 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.

What insurance does Samantha Johnston accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Samantha Johnston 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 Johnston was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.