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SAMUEL JOHNSON
NPI 1558740803
Physician Assistant in Stillwater, MN

Active since May 20, 2015PECOS EnrolledAccepts Medicare Assignment
1500 CURVE CREST BLVD W, STILLWATER, MN 55082(651) 439-1234 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Samuel Johnson NPPES

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

SAMUEL JOHNSON (NPI 1558740803) is an individual physician assistant in Stillwater, Minnesota, licensed in Minnesota (2266) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1558740803
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSAMUEL JOHNSON
Location Address1500 CURVE CREST BLVD WStillwater, MN 55082-6040
Mailing AddressN2497 State Road 58Mauston, WI 53948 · (678) 200-3731
Phone(651) 439-1234
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 20, 2015
Last NPPES UpdateAugust 17, 2023
NPPES CertifiedAugust 17, 2023
✔ NPI 1558740803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MN · 2266✔ Licensed in WI · 7270
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1500 CURVE CREST BLVD W, Stillwater, MN 55082
Open in Google Maps ↗

Secondary Practice Locations 8

Location 1535 Hospital RdNew Richmond, WI 54017-1449 · Phone (715) 243-2600
Location 28450 Seasons PkwyWoodbury, MN 55125-4402 · Phone (952) 853-8800
Location 3205 Wabasha St SSaint Paul, MN 55107-1805 · Phone (952) 853-8800
Location 42500 Como AveSaint Paul, MN 55108-1460 · Phone (952) 853-8800
Location 53930 Northwoods DrArden Hills, MN 55112-6963 · Phone (952) 853-8800
Location 615290 Pennock LnApple Valley, MN 55124-7163 · Phone (952) 853-8800
Location 72901 Metro Drive, Suite 527Bloomington, MN 55122 · Phone (952) 883-5881
Location 8265 Griffin St EAmery, WI 54001-1439 · Phone (715) 268-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica 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

Samuel Johnson 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 ID143541078
PECOS Enrollment IDI20150604000445, I20231006001173
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
191 services177 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
67 services66 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
46 services46 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALISON GARDNER PA-C
Physician Assistant
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
MRS. KATELYN STAHNKE ATC
Specialist/Technologist (Athletic Trainer)
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
DR. STEPHEN MARK SCALLON MD
Pediatrics
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
DR. ERIC GRANT MEINBERG M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
MR. EVAN ROBERT OLSON DPT
Physical Therapist
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
LAURA J MEYER NP
Nurse Practitioner
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
MARA LOGERQUIST M.S., CF-SLP
Speech-Language Pathologist
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234
CYNTHIA G. GOETZ PA-C
Physician Assistant (Surgical)
1500 CURVE CREST BLVD W
STILLWATER, MN 55082
Washington County (651) 439-1234

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 Samuel Johnson's NPI number?

The NPI number for Samuel Johnson is 1558740803. It was assigned to this individual provider in the NPPES registry on May 20, 2015.

Where is Samuel Johnson located?

Samuel Johnson practices at 1500 Curve Crest Blvd W, Stillwater, MN 55082. The listed phone number is (651) 439-1234.

What is Samuel Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samuel Johnson enrolled in Medicare?

Yes. Samuel 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.

What insurance does Samuel Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Samuel 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 Samuel Johnson affiliated with any hospitals?

According to CMS data, Samuel Johnson is affiliated with Lakeview Memorial Hospital and Amery Hospital & Clinic.

When was this NPI record last updated?

The NPPES record for Samuel Johnson was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.