SAMANTHA PEARL JOHNSON NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1770442196
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY
About Samantha Pearl Johnson Nurse Practitioner In Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA PEARL JOHNSON NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1770442196) is a healthcare organization registered as a psychiatric/mental health in Brooklyn, New York and active in the NPI registry since January 2026. The organization lists Samantha Pearl Johnson, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Pearl Johnson Nurse Practitioner In Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pearl Johnson Nurse Practitioner In Psychiatry PLLC's NPI number?
The NPI number for Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC is 1770442196. It was assigned to this organization in the NPPES registry on January 21, 2026.
Where is Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC located?
Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC is located at 1408 Brooklyn Ave Apt 5E, Brooklyn, NY 11210. The listed phone number is (330) 390-0840.
What is Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC enrolled in Medicare?
Yes. Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Pearl Johnson Nurse Practitioner In Psychiatry PLLC was last updated on July 24, 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.
# Samantha Pearl Johnson Nurse Practitioner In Psychiatry Pllc · NPI 1770442196
Psychiatric/Mental Health organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since January 21, 2026.
## Identity
- **NPI:** 1770442196 (Entity type: Organization)
- **Enumerated:** January 21, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Samantha Johnson, NURSE PRACTITIONER
## Practice location
- **Address:** 1408 BROOKLYN AVE APT 5E, Brooklyn, NY 11210-1875
- **Phone:** (330) 390-0840
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770442196) · Data from the CMS NPPES public registry.