DR. SAMANTHA K JOHNSON (DC) – Chiropractor, NPI 1124548201

DR. SAMANTHA K JOHNSON (DC) is a healthcare provider. based in Ellsworth, Wisconsin. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 5286-12 (WI). The NPI Number for DR. SAMANTHA K JOHNSON (DC) is 1124548201

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMANTHA K JOHNSON (DC)
NPI
1124548201
Phone
(715) 273-4115
Address
PO BOX 668
Enumeration Date
21 June 2017
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
7152734115
Graduation Year
2017 (9 years ago)
PAC ID
8729350061
Group Practice PAC ID
7517015126
Professional Enrollment ID
I20170821002385
Address ID
WI540119188EL187XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,617 CHIROPRACTIC in WI

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Provider Addresses for DR. SAMANTHA K JOHNSON (DC)

  • 668, Lamoine Beach Road, East Lamoine, Ellsworth, Hancock County, Maine, 04605, United States

    ELLSWORTH, WI 540110668

    Phone: (715) 273-4115

    Type: Mailing

  • 187, Ellsworth, Pixley, Tulare County, California, 93256, United States

    ELLSWORTH, WI 54011

    Phone: (715) 273-4115

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-08-21

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
I20170821002385IChiropracticWITBD

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
98940Chiropractic manipulative treatment, 1-2 spinal regions9123$0
98941Chiropractic manipulative treatment, 3-4 spinal regions5311$0
View full utilization report →

Insurance plans in this area (ZIP 54011)

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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: 7517015126View full group profile
NameSpecialtyState
C H I R O P R A C T I CWI

Reviews

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Frequently asked questions

Can I use this page to confirm DR. SAMANTHA K JOHNSON (DC)'s NPI?
Yes. DR. SAMANTHA K JOHNSON (DC) is listed with NPI 1124548201 in the public NPI dataset.
Does the file indicate DR. SAMANTHA K JOHNSON (DC) is practicing under active NPI?
Directory data currently reports DR. SAMANTHA K JOHNSON (DC) as active.
What is DR. SAMANTHA K JOHNSON (DC) best known for clinically?
Directory data describes DR. SAMANTHA K JOHNSON (DC) with Chiropractor. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SAMANTHA K JOHNSON (DC) on a map?
Expect Ellsworth, Wisconsin as a primary anchor for DR. SAMANTHA K JOHNSON (DC) unless the record lists multiple sites.
Why does DR. SAMANTHA K JOHNSON (DC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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