Samantha Johnson, APN - Medicare Nurse Practitioner in Evanston, IL

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Samantha Johnson, APN is a medicare enrolled "Nurse Practitioner" in Evanston, Illinois. Her current practice location is 2650 Ridge Ave, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 570-2040.

Samantha Johnson is licensed to practice in Illinois (license number 209-009758) 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 1689926784.

Contact Information

Samantha Johnson, APN
2650 Ridge Ave,
Evanston, IL 60201-1700
(847) 570-2040
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Johnson
GenderFemale
SpecialityNurse Practitioner
Location2650 Ridge Ave, Evanston, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689926784
  • Provider Enumeration Date: 10/12/2012
  • Last Update Date: 01/16/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1557513157
  • Enrollment ID: I20121205000475

Medical Identifiers

Medical identifiers for Samantha Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689926784NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209-009758 (Illinois)Primary
363LF0000XNurse Practitioner - Family 209-009758 (Illinois)Secondary

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 Johnson allows following entities to bill medicare on her behalf.
Entity NameEdward Health Ventures
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962452912
PECOS PAC ID: 4284531484
Enrollment ID: O20031216000616
Entity NameElmhurst Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548306343
PECOS PAC ID: 3577458009
Enrollment ID: O20040216000346
Entity NameEdward Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013969013
PECOS PAC ID: 0042108110
Enrollment ID: O20040309001279
Entity NameElmhurst Memorial Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457493454
PECOS PAC ID: 9638168602
Enrollment ID: O20040506001298
Entity NameEndeavor Health Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118

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 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 Johnson, APN
2650 Ridge Ave,
Evanston, IL 60201-1700

Ph: (847) 570-2040		Samantha Johnson, APN
2650 Ridge Ave,
Evanston, IL 60201-1700

Ph: (847) 570-2040

Reviews and Comments


Nurse Practitioner Nurses in Evanston, IL

Marlene Angelico, CNP
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Medicare: Not Enrolled in Medicare
Practice Location: 2650 Ridge Ave, Emergency Medicine, Rm G903c, Evanston, IL 60201
Phone: 847-570-1355    Fax: 847-570-1223
Emily Pableo Pinol, MSN, APRN, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-982-3811    
Reba Elizabeth Mathew,
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Medicare: Medicare Enrolled
Practice Location: 500 Asbury Ave # 316-3320, Evanston, IL 60202
Phone: 847-316-3320    
Mrs. Monika Marrero, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-425-6400    
Holly Rene, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-570-1027    
Manijeh Ghafouri,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3333 Central St, Evanston, IL 60201
Phone: 847-869-3800    
Regina Munoz, APN-CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Central St Ste 610, Evanston, IL 60201
Phone: 847-570-1029    Fax: 847-733-5318

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.