Samuel Pennington Johnson, NP
Samuel Pennington Johnson, NP is a Nurse Practitioner in Idaho Falls, Idaho. Qualified in 2024, 2 years ago. Practices with Intensive Care Consortium Inc, a 483-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 2
- Licensed in
- ID
- In the registry since
- 2025
What do these letters mean?
- NP — Nurse Practitioner
- An advanced practice nurse who can diagnose, treat and in most states prescribe.
Practice location Address checks out
3100 Channing WayIdaho Falls, ID 83404-7533
Phone: (801) 499-1889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 4471358 (ID) |
|---|
Record details
| NPI number | 1639969637 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | NP |
| Sole proprietor | No |
| NPI enumerated | May 12, 2025 |
| Last updated in NPPES | May 12, 2025 |
| Certification date | May 12, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Intensive Care Consortium Inc — 483 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Idaho Falls
-
Roberta J. Bostian, AGACNP
765 S Utah Ave, Idaho Falls, ID 83402-5093 · (208) 525-2600
-
Lisa Marie Burger, ACAGNP-C
2065 E 17th St, Idaho Falls, ID 83404-8042 · (800) 640-3451
-
Taylor Emery, AGACNP-BC
3100 Channing Way, Idaho Falls, ID 83404-7533 · (952) 797-2172
-
Mrs. Jacklyn Hagg, AGACNP
3100 Channing Way, Idaho Falls, ID 83404-7533 · (208) 529-6111
-
Wendy Swope, ACNPC
2280 E 25th St, Idaho Falls, ID 83404-7542 · (208) 227-2100
-
Mrs. Amy Diana Thornley, ACNP-BC
3100 Channing Way, Idaho Falls, ID 83404-7533 · (208) 589-6111