Samantha R. Johnson, MD
NPI 1831728807ActiveIndividual· Pediatrics· Green Bay, WI
Pediatrics (MD) in Green Bay, Wisconsin, licensed in WI and MI, with an NPI issued in April 2020. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1831728807 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Apr 2, 2020 |
| Last updated in NPPES | Dec 26, 2023 |
| Certified by provider | Dec 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 82224-20 | WI |
| Pediatrics | 208000000X | 4351046547 | MI |
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 - Pediatric Medicine (WI) |
|---|
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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