1. Home
  2. Directory
  3. Illinois
  4. Evanston
  5. Nurse Practitioner
  6. NPI Profile

SAMANTHA JOHNSON APN
NPI 1689926784
Nurse Practitioner in Evanston, IL

Active since October 12, 2012PECOS Enrolled
91.35/100
CMS Quality Rating
2650 RIDGE AVE, EVANSTON, IL 60201(847) 570-2040 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 18, 2021, Mar 17, 2018, Aug 21, 2017 (3 updates tracked since 2017).

About Samantha Johnson Apn NPPES

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

SAMANTHA JOHNSON APN (NPI 1689926784) is an individual nurse practitioner in Evanston, Illinois, licensed in Illinois (209-009758) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689926784
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA JOHNSONCredential: APN
Location Address2650 RIDGE AVEEvanston, IL 60201-1700
Mailing Address2650 Ridge AveEvanston, IL 60201-1700 · (847) 570-2040
Phone(847) 570-2040
Sole ProprietorNo
Enumeration DateOctober 12, 2012
Last NPPES UpdateJanuary 16, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
✔ NPI 1689926784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209-009758
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209-009758 (IL)
2650 RIDGE AVE, Evanston, IL 60201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12285 Sequoia DrAurora, IL 60506-6209 · Phone (630) 859-6800
Location 2801 S Washington StNaperville, IL 60540-7430 · Phone (847) 738-6069

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Johnson Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Samantha Johnson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
Same address
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760
Elmhurst Memorial Healthcare
14 mi
Multi-Specialty
1100 LAKE ST, #230
Oak Park, IL 60302
  • Reassigned Medicare billing, Illinois enrollment
  • 240 clinicians in this Medicare group
NPI 1760692362 (630) 993-5676
Edward Health Ventures
19 mi
Clinic/Center
1200 S YORK ST, STE 3160
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 561 clinicians in this Medicare group
NPI 1275963027 (331) 221-9090
Elmhurst Memorial Hospital
19 mi
General Acute Care Hospital
155 E BRUSH HILL RD
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 205 clinicians in this Medicare group
NPI 1548306343 (331) 221-1000
Edward Hospital
32 mi
General Acute Care Hospital
801 S WASHINGTON ST
Naperville, IL 60540
  • Reassigned Medicare billing, Illinois enrollment
  • 268 clinicians in this Medicare group
NPI 1013969013 (630) 655-0450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
347 services84 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
129 services83 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
100 services46 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
56 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
5 suppliers13 claims46 services$6.74 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 20

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

DR. THOMAS LEE CIBULL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-2040
LAUREN ANDERSON MD
Hospitalist
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-1027
DR. DANIEL K. WEST MD
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, DEPARTMENT OF RADIOLOGY, G507
EVANSTON, IL 60201
Cook County (847) 570-2475
JOEL BERNSTEIN M.D.
Radiology (Diagnostic Radiology)
2650 RIDGE AVE, EVANSTON HOSPITAL
EVANSTON, IL 60201
Cook County (847) 570-1206
MATTHEW R. SHERWOOD MD
Internal Medicine
2650 RIDGE AVE, DIVISION OF INTERNAL MEDICINE RM 4324
EVANSTON, IL 60201
Cook County (847) 570-1010
MICHAEL T. GILLAM M.D.
Emergency Medicine
2650 RIDGE AVE, EMERGENCY MEDICINE RM G909
EVANSTON, IL 60201
Cook County (847) 570-2114
MARLENE ANGELICO CNP
Nurse Practitioner (Acute Care)
2650 RIDGE AVE, EMERGENCY MEDICINE, RM G903C
EVANSTON, IL 60201
Cook County (847) 570-1355
MINA KEROLOS MD
Hospitalist
2650 RIDGE AVE
EVANSTON, IL 60201
Cook County (847) 570-1010

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 1689926784. It was assigned to this individual provider in the NPPES registry on October 12, 2012.

Where is Samantha Johnson located?

Samantha Johnson practices at 2650 Ridge Ave, Evanston, IL 60201. The listed phone number is (847) 570-2040.

What is Samantha Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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 5 organizations: Endeavor Health Medical Group (Evanston, IL), Elmhurst Memorial Healthcare (Oak Park, IL), Edward Health Ventures (Elmhurst, IL), Elmhurst Memorial Hospital (Elmhurst, IL) and Edward Hospital (Naperville, IL). 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.

When was this NPI record last updated?

The NPPES record for Samantha Johnson was last updated on January 16, 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.