Samuel Pennington Johnson, NP - Nurse Practitioner in Idaho Falls, ID

Samuel Pennington Johnson, NP is a Nurse Practitioner - Acute Care based in Idaho Falls, Idaho. Samuel Pennington Johnson is licensed to practice in Idaho (license number 4471358) and his current practice location is 3100 Channing Way, Idaho Falls, Idaho. He can be reached at his office (for appointments etc.) via phone at (801) 499-1889.

NPI number for Samuel Pennington Johnson is 1639969637 and his current mailing address is 3100 Channing Way, Idaho Falls, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639969637.

Contact Information

Samuel Pennington Johnson, NP
3100 Channing Way,
Idaho Falls, ID 83404-7533
(801) 499-1889
Not Available

Map and Direction




Provider's Profile

Full NameSamuel Pennington Johnson
GenderMale
SpecialityNurse Practitioner - Acute Care
Location3100 Channing Way, Idaho Falls, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639969637
  • Provider Enumeration Date: 05/12/2025
  • Last Update Date: 05/12/2025

Medical Identifiers

Medical identifiers for Samuel Pennington Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639969637NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 4471358 (Idaho)Primary

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. Samuel Pennington Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samuel Pennington Johnson, NP
3100 Channing Way,
Idaho Falls, ID 83404-7533

Ph: (801) 499-1889
Samuel Pennington Johnson, NP
3100 Channing Way,
Idaho Falls, ID 83404-7533

Ph: (801) 499-1889

Reviews and Comments


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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.

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