Samantha Wynn Johnson, NP - Medicare Nurse Practitioner in Twin Falls, ID

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Samantha Wynn Johnson, NP is a medicare enrolled "Nurse Practitioner - Family" in Twin Falls, Idaho. Her current practice location is 1534 Addison Ave E, Twin Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (831) 801-5141.

Samantha Wynn Johnson is licensed to practice in Idaho (license number 60408) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164141107.

Contact Information

Samantha Wynn Johnson, NP
1534 Addison Ave E,
Twin Falls, ID 83301-5355
(831) 801-5141
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Wynn Johnson
GenderFemale
SpecialityNurse Practitioner - Family
Location1534 Addison Ave E, Twin Falls, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164141107
  • Provider Enumeration Date: 08/23/2022
  • Last Update Date: 08/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759752165
  • Enrollment ID: I20230123001960

Medical Identifiers

Medical identifiers for Samantha Wynn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164141107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 60408 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Samantha Wynn Johnson allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718229
PECOS PAC ID: 1052217478
Enrollment ID: O20031208000899
Entity NameRiver View Urgent Care & Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790043693
PECOS PAC ID: 6901056555
Enrollment ID: O20121017000548
Entity NameUrgent Care Of Idaho, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538578687
PECOS PAC ID: 8527381136
Enrollment ID: O20150106000297
Entity NameMeridian Advanced Psychiatry , Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609412683
PECOS PAC ID: 8628490711
Enrollment ID: O20200618000604

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Wynn Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha Wynn Johnson, NP
1534 Addison Ave E,
Twin Falls, ID 83301-5355

Ph: () -		Samantha Wynn Johnson, NP
1534 Addison Ave E,
Twin Falls, ID 83301-5355

Ph: (831) 801-5141

Reviews and Comments


Nurse Practitioner Nurses in Twin Falls, ID

Madison Christine Campbell, MSN, APRN, PMHNP-BC
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Medicare: Not Enrolled in Medicare
Practice Location: 815 N College Rd, Twin Falls, ID 83301
Phone: 208-814-9100    Fax: 208-814-9903
Janice Carter, FNP
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Medicare: Accepting Medicare Assignments
Practice Location: 2086 Addison Ave E, Twin Falls, ID 83301
Phone: 208-733-9697    Fax: 208-733-3197
Lesley D. Goulding, FNP-BC
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Medicare: Accepting Medicare Assignments
Practice Location: 775 Pole Line Rd W Ste 302, Twin Falls, ID 83301
Phone: 208-814-8740    Fax: 208-814-8955
Mrs. Amanda Jo Prestigiacomo, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 350 N Haven Dr, Twin Falls, ID 83301
Phone: 208-904-4780    Fax: 208-904-4832
Mrs. Raemi Dawn Nolevanko, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 801 Pole Line Rd W, Twin Falls, ID 83301
Phone: 208-814-1000    
Reatta Omoth, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2550 Addison Ave E Ste E, Twin Falls, ID 83301
Phone: 208-814-7780    Fax: 208-814-7746
Corinne Bartschi, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 1502 Locust St N Ste 700, Twin Falls, ID 83301
Phone: 208-595-5095    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.