SAMANTHA R JOHNSON MD
NPI 1831728807
Pediatrics in Green Bay, WI
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha R Johnson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Samantha Johnson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 190 clinicians in this Medicare group
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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 3 organizations: Prevea Clinic, Inc. (Green Bay, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI). 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.
What insurance does Samantha Johnson accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, 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.
# Samantha R Johnson, MD · NPI 1831728807
Pediatrics physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1831728807 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 82224-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1821 S WEBSTER AVE, Green Bay, WI 54301-2253
- **Phone:** (920) 496-4700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Prevea Clinic, Inc. (NPI 1306869276, Green Bay, WI); St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1285613638, Green Bay, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1275799413, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 26, 2023
- **Other identifiers:** Medicaid 100245788 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1831728807) · Data from the CMS NPPES public registry.