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SAMANTHA R JOHNSON MD
NPI 1831728807
Pediatrics in Green Bay, WI

Active since April 02, 2020PECOS Enrolled
1821 S WEBSTER AVE, GREEN BAY, WI 54301(920) 496-4700 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2022, Apr 2, 2020 (2 updates tracked since 2020).

About Samantha R Johnson Md NPPES

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

SAMANTHA R JOHNSON MD (NPI 1831728807) is an individual pediatrics provider in Green Bay, Wisconsin, licensed in Wisconsin (82224-20) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831728807
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameSAMANTHA R JOHNSONCredential: MD
Location Address1821 S WEBSTER AVEGreen Bay, WI 54301-2253
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Phone(920) 496-4700
Sole ProprietorNo
Enumeration DateApril 2, 2020
Last NPPES UpdateDecember 26, 20232 updates tracked since enumeration
NPPES CertifiedDecember 26, 2023
✔ NPI 1831728807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 82224-20✔ Licensed in MI · 4351046547
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1821 S WEBSTER AVE, Green Bay, WI 54301
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Other Names 1

Former Name (1)Samantha Van Gheem

Other Identifiers 1

Medicaid100245788WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha R Johnson Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

IRMA CATHERINE SMET PHD
Psychologist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
SERENA ASHOUR APNP
Nurse Practitioner
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
KATHLEEN MARIE BARKOW MD
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
GEORGE E WHETMORE DO
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
LAUREN M RESCH NP
Nurse Practitioner
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. ESRA SIDDEEK DO
Neuromusculoskeletal Medicine & OMM
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
KELSEY SMITH DPT
Physical Therapist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
CARRIE ANN THOMS MD
Surgery
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700

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 1831728807. It was assigned to this individual provider in the NPPES registry on April 2, 2020. The provider is also known as Samantha Van Gheem.

Where is Samantha Johnson located?

Samantha Johnson practices at 1821 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 496-4700.

What is Samantha Johnson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Samantha Johnson enrolled in Medicare?

Yes. Samantha Johnson is registered in the Medicare PECOS enrollment system.

What insurance does Samantha Johnson accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Samantha 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.

When was this NPI record last updated?

The NPPES record for Samantha Johnson was last updated on December 26, 2023. 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.