Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Ann Johnsen

Individual provider Gynecology Physician · NPI 1215595640

Samantha Ann Johnsen is a Nurse Practitioner in Detroit, Michigan. Qualified in 2019, 7 years ago. Practices with Womens Health Specialists SC, a 27-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
7
Licensed in
NV
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

400 Renaissance Ctr
Detroit, MI 48243-1502
Phone: (888) 731-8994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 400 S 4th St, Las Vegas, NV 89101-6201 — (888) 731-8994
  • 7160 Smoke Ranch Rd, Las Vegas, NV 89128-3208 — (702) 254-8900
  • 1433 N Water St, Milwaukee, WI 53202-2557 — (888) 731-8994

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 386709 (NV)
Gynecology Physician Taxonomy 207VG0400X · Licence RN71057 (NV)

Record details

NPI number1215595640
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2019
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Womens Health Specialists Sc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Detroit