SAMANTHA JULIANNE JOHNSON (NP) – Acute Care Nurse Practitioner, NPI 1194365999

SAMANTHA JULIANNE JOHNSON (NP) is a healthcare provider. based in Robbinsdale, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2478915 (MN). The NPI Number for SAMANTHA JULIANNE JOHNSON (NP) is 1194365999

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA JULIANNE JOHNSON (NP)
NPI
1194365999
Phone
(763) 520-5200
Address
3300 OAKDALE AVE N
Enumeration Date
9 January 2020
Last Update Date
2 November 2022

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6516359173
Graduation Year
2019 (7 years ago)
PAC ID
2860829231
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20200224002981
Address ID
MN554322718FR550XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for SAMANTHA JULIANNE JOHNSON (NP)

  • 3300 OAKDALE AVE N

    ROBBINSDALE, MN 554222900

    Phone: (763) 520-5200

    Fax: (763) 581-6401

    Type: Mailing

  • 3300 Oakdale Ave N

    Robbinsdale, MN 554222926

    Phone: (763) 581-3700

    Fax: (763) 581-3701

    Type: Location

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 550 OSBORNE RD NE

    FRIDLEY, MN 554322718

    Phone: (763) 236-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $253.

Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($225).

Total Amount

$253

General + Research + Ownership

Payments

18

Total payment records

General Amount

$253

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200224002981INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes14669$0
99239Hospital discharge day management, more than 30 minutes6564$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3626$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 55422)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587573613View full group profile

Reviews

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Frequently asked questions

Does SAMANTHA JULIANNE JOHNSON (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SAMANTHA JULIANNE JOHNSON (NP) uses 1194365999.
Is SAMANTHA JULIANNE JOHNSON (NP) still practicing?
SAMANTHA JULIANNE JOHNSON (NP) is currently listed as active in the public NPI registry.
What taxonomy line describes SAMANTHA JULIANNE JOHNSON (NP)?
For research purposes, treat SAMANTHA JULIANNE JOHNSON (NP) as Acute Care Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is SAMANTHA JULIANNE JOHNSON (NP) based?
SAMANTHA JULIANNE JOHNSON (NP) is tied to Robbinsdale, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about SAMANTHA JULIANNE JOHNSON (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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