Samantha Ann Johnsen, is a medicare enrolled "Nurse Practitioner" physician in Detroit, Michigan. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Womens Health Specialists Sc, St Francis Hospital and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215595640.
Physician's Profile
| Full Name | Samantha Ann Johnsen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 400 Renaissance Ctr, Detroit, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Ann Johnsen graduated from medical school in 2019
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: I20251105000223
Medical Identifiers
Medical identifiers for Samantha Ann Johnsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215595640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207VG0400X | Obstetrics & Gynecology - Gynecology | RN71057 (Nevada) | Secondary |
| 363L00000X | Nurse Practitioner | 386709 (Nevada) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Womens Health Specialists Sc | 8628044138 | 26 |
| St Francis Hospital | 5991604753 | 86 |
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 Address | Practice 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 |
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