NPI age
1 years
Enumerated 2025-05-12
● Active
Type 1 · Individual
Samuel Pennington Johnson, NP
Johnson is 1 of 6 nurse practitioner providers in Idaho Falls and 1 of 60 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-05-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 60 active nurse practitioner providers in Idaho.
NPI age
1 years
↓ 4 yr below median (5 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
50% of peers hold subspecialties
NPI lifetime · 2025 → 2026
2025-05Enumerated in NPPES
2025
2026
Where they practice
Practice location
3100 Channing Way
Idaho Falls, ID 834047533
Mailing address
3100 Channing Way
Idaho Falls, ID 834047533
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 240 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.