Samantha Ann Johnsen, - Medicare Nurse Practitioner in Detroit, MI

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Samantha Ann Johnsen, is a medicare enrolled "Nurse Practitioner" physician in Detroit, Michigan. Her current practice location is 400 Renaissance Ctr, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (888) 731-8994.

Samantha Ann Johnsen is licensed to practice in Nevada (license number 386709) 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 1215595640.

Contact Information

Samantha Ann Johnsen,
400 Renaissance Ctr,
Detroit, MI 48243-1502
(888) 731-8994
Not Available

Map and Direction




Physician's Profile

Full NameSamantha Ann Johnsen
GenderFemale
SpecialityNurse Practitioner
Location400 Renaissance Ctr, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215595640
  • Provider Enumeration Date: 05/31/2019
  • Last Update Date: 08/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8325470933
  • Enrollment ID: I20231027000652

Medical Identifiers

Medical identifiers for Samantha Ann Johnsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215595640NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology RN71057 (Nevada)Secondary
363L00000XNurse Practitioner 386709 (Nevada)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 Ann Johnsen allows following entities to bill medicare on her behalf.
Entity NameSt Francis Hospital, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700828837
PECOS PAC ID: 5991604753
Enrollment ID: O20031231000428

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 Ann Johnsen 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 Ann Johnsen,
8906 Spanish Ridge Ave Ste 202,
Las Vegas, NV 89148-1319

Ph: (702) 330-3102		Samantha Ann Johnsen,
400 Renaissance Ctr,
Detroit, MI 48243-1502

Ph: (888) 731-8994

Reviews and Comments



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.