Dr. Samantha K Johnson, DC
Chiropractor in Ellsworth, WI. Individual provider (NPI-1).
NPI number1124548201
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1124548201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Samantha K Johnson
- Credential
- DC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2017
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 5286-12 | WI | Yes |
Practice location
187 East MainEllsworth, WI 54011
Phone 715-273-4115
Mailing address
Po Box 668Ellsworth, WI 54011-0668
Phone 715-273-4115
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Other Chiropractor providers in Ellsworth, WI
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- Kyle J Cress, DCNPI 1710456173
- Ellsworth Chiropractic & Wellness LLCNPI 1235927930
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- Gregory W Bernard Dc PANPI 1245617687
- Kollbaum Chiropractic LimitedNPI 1659572048
- Kyle Timothy Kollbaum, D.C.NPI 1992701056
- Gayle Ann Nissen, DCNPI 1801972898
- Nyeggen Chiropractic ScNPI 1548415748
- Ronald Scott Nyeggen, DCNPI 1023181484
All 11 Chiropractor providers in Ellsworth · All 77 providers in Ellsworth
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