SAMUEL PENNINGTON JOHNSON NP
NPI 1639969637
Nurse Practitioner - Acute Care in Idaho Falls, ID
About Samuel Pennington Johnson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL PENNINGTON JOHNSON NP (NPI 1639969637) is an individual acute care provider in Idaho Falls, Idaho, licensed in Idaho (4471358) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Pennington 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Eastern Idaho Regional Medical Center
Acute Care Hospitals · Idaho Falls, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83404 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.
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
IDAHO FALLS, ID 83404
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 1639969637. It was assigned to this individual provider in the NPPES registry on May 12, 2025.
Where is Samuel Johnson located?
Samuel Johnson practices at 3100 Channing Way, Idaho Falls, ID 83404. The listed phone number is (801) 499-1889.
What is Samuel Johnson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
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 Moda Health Plan, Inc. 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 Eastern Idaho Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Samuel Johnson was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
