Samuel Johnson, NP
NPI 1639969637 · Acute Care Nurse Practitioner · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Johnson, NP is a Acute Care Nurse Practitioner provider in Idaho Falls, ID (NPI 1639969637).
Provider details
- NPI number
- 1639969637
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 4471358 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-12
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is Samuel Johnson's NPI number?
- Samuel Johnson's National Provider Identifier (NPI) is 1639969637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Johnson's specialty?
- Samuel Johnson is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samuel Johnson located?
- Samuel Johnson's practice location on file with NPPES is 3100 Channing Way, Idaho Falls, ID 83404-7533.
- What is Samuel Johnson's phone number?
- The practice phone number listed in the NPPES registry for Samuel Johnson is (801) 499-1889.
- Does Samuel Johnson accept Medicare?
- Samuel Johnson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Johnson's NPI active?
- Yes — Samuel Johnson's NPI (1639969637) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.