Samuel Pennington Johnson, NP
Acute Care Nurse Practitioner · Idaho Falls, ID
Samuel Pennington Johnson, NP is an acute care nurse practitioner with a practice address in Idaho Falls, Idaho, and NPI 1639969637, issued on May 12, 2025. Check the license (Idaho 4471358, as entered in NPPES) with the Idaho board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Samuel Pennington Johnson
- Credential
- NP
- Primary taxonomy
- Acute Care Nurse Practitioner 363LA2100X
- License number
- 4471358 ID
Self-reported in NPPES; status is on the state search - Practice location
- 3100 Channing Way, Idaho Falls, ID 83404
- Phone
- (801) 499-1889
- Enumerated
- May 12, 2025
- Record last updated
- May 12, 2025
- Medicare enrollment
- Enrolled (PECOS I20250602001539); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest acute care nurse practitioner records → All 58 in Idaho → Look up another NPI →
Also registered at 3100 Channing Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mary Achim-Thibodaux, MDStudent in an Organized Health Care Education/Training Program1497457196
- Danial AliStudent in an Organized Health Care Education/Training Program1902744196
- Tausha AllenInternal Medicine Physician1558822379
- Anita Alvarez, RN,BSN,PCCN,SANE-ARegistered Nurse1821932567
- Braden Amann, DOStudent in an Organized Health Care Education/Training Program1720936057
- Joseph Anderson, DOUndersea and Hyperbaric Medicine (Emergency Medicine) Physician1326025396
Verify Samuel Pennington Johnson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license 4471358Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Intensive Care Consortium IncIdaho Falls, ID
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Samuel Pennington Johnson among 58 acute care nurse practitioner records in Idaho
Samuel Pennington Johnson, NP is one of 58 acute care nurse practitioner records with a practice address in Idaho. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 90% of them.
- NPI issued2025 · 90% of these records are older, 2% newer
- In a Medicare fileYes · 90% of these records are
- In the CMS Doctors and Clinicians fileYes · 79% of these records are
- Graduated2024 · median 2020 among the 46 with a school on file
- Record last updated2025 · 29% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LA2100X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Acute Care Nurse Practitioner providers in Idaho
There are 58 acute care nurse practitioner records in Idaho.
All 58 in Idaho → Every provider in Idaho Falls → Acute Care Nurse Practitioner nationwide →
The 8 acute care nurse practitioner records with the nearest ZIP codes
- Laxmi BhattariIdaho Falls, ID 834041366327348
- Mark Ellett, AGACNPIdaho Falls, ID 834041295402089
- Taylor Emery, AGACNP-BCIdaho Falls, ID 834041750969770
- Wendy Swope, ACNPCIdaho Falls, ID 834041962522409
- Roberta Bostian, AGACNPIdaho Falls, ID 834021972275501
- Nikole Kirby, AGACNP-BCRigby, ID 834421285502138
- Scott Cook, APRN-CNPBurley, ID 833181184398679
- Lindsay StryhasLewiston, ID 835011700661709
Common questions
What is Samuel Pennington Johnson, NP's NPI number?
Samuel Pennington Johnson, NP's National Provider Identifier (NPI) is 1639969637, issued on May 12, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Samuel Pennington Johnson, NP located?
The NPPES record lists a practice address at 3100 Channing Way, Idaho Falls, ID, 83404. Phone: (801) 499-1889. Providers update this record themselves, so call before visiting.
How can I verify Samuel Pennington Johnson, NP's license?
NPPES lists Idaho license number 4471358, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.