Samuel Johnson
NPI 1558740803ActiveIndividual· Physician Assistant· Stillwater, MN
Physician Assistant with Group Health Inc and 1 other group, practicing in Stillwater, Minnesota. 279 Medicare patients in 2024, $18,510 paid; nearly all of their 443 Part D prescriptions were generic (95%). Lists Amery Hospital & Clinic and 1 other hospital as hospital affiliations.
Overview
| NPI | 1558740803 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 20, 2015 |
| Last updated in NPPES | Aug 17, 2023 |
| Certified by provider | Aug 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2266 | MN |
| Physician Assistant | 363A00000X | 7270 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 279 |
|---|---|
| Services billed | 467 across 45 procedure codes |
| Paid by Medicare | $18,510 |
Part D prescriptions in 2024
| Prescriptions (claims) | 443 · 458 30-day fills |
|---|---|
| Patients | 352 |
| Total drug cost | $5,557 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Group Health IncBloomington, MN · 1,638 clinicians
- Amery Regional Medical Center IncAmery, WI · 124 clinicians
Hospital affiliations
- Amery Hospital & ClinicAmery, WI
- Lakeview Memorial HospitalStillwater, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 53 physician assistants in Stillwater · All physician assistants in Minnesota