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

Samuel Johnson

Individual provider Physician Assistant · NPI 1558740803

Samuel Johnson is a Physician Assistant in Stillwater, Minnesota. Qualified in 2015, 11 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 9 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
11
Licensed in
MN, WI
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

1500 Curve Crest Blvd W
Stillwater, MN 55082-6040
Phone: (651) 439-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • 15290 Pennock Ln, Apple Valley, MN 55124-7163 — (952) 853-8800
  • 3930 Northwoods Dr, Arden Hills, MN 55112-6963 — (952) 853-8800
  • 2901 Metro Drive, Bloomington, MN 55122 — (952) 883-5881
  • 205 Wabasha St S, Saint Paul, MN 55107-1805 — (952) 853-8800
  • 2500 Como Ave, Saint Paul, MN 55108-1460 — (952) 853-8800
  • 8450 Seasons Pkwy, Woodbury, MN 55125-4402 — (952) 853-8800
  • 265 Griffin St E, Amery, WI 54001-1439 — (715) 268-8000
  • 535 Hospital Rd, New Richmond, WI 54017-1449 — (715) 243-2600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2266 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 7270 (WI)

Record details

NPI number1558740803
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2015
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing addressN2497 State Road 58, Mauston, WI 53948

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Stillwater