Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Samantha Johnson , APN

Nurse Practitioner โ€ข Evanston, IL

Active NPI 1689926784 Individual Practitioner Female Practitioner
Practice location in NPPES

2650 Ridge Ave
Evanston, IL 602011700

Call 8475702040 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2650 Ridge Ave

Evanston, IL 602011700

Telephone 8475702040
Organization at the Same NPPES Address or Phone
Endeavor Health Clinical Operations Facility NPI 1184670549

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Aurora, IL; Naperville, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare patients

112 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $61,738 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $49,221 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

80 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$971 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $31.69 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Samantha Johnson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Samantha Johnson as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Evanston and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Evanston, IL (2024, 73 clinicians with data). Median for this group: 277. Middle half: 145 to 483.

More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: 261. Middle half: 101 to 526.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Evanston, IL (2024, 73 clinicians with data). Median for this group: $25,570. Middle half: $10,692 to $45,557.

A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $21,010. Middle half: $8,652 to $42,014.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Evanston, IL (2024, 73 clinicians with data). Median for this group: $20,109. Middle half: $7,293 to $36,212.

A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $15,151. Middle half: $6,396 to $31,322.

Medicare Part D prescriptions

Fewer Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Evanston, IL (2024, 54 clinicians with data). Median for this group: 225. Middle half: 82 to 560.

Fewer Part D prescriptions than 75% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: 259. Middle half: 80 to 930.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Evanston, IL (2024, 54 clinicians with data). Median for this group: $17,069. Middle half: $1,659 to $76,771.

A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: $10,867. Middle half: $976 to $113,945.

139 active clinicians are listed under Nurse Practitioner with a practice address in Evanston, IL (4,894 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Evanston

21.6% of these 139 clinicians have the CMS telehealth indicator.

71.9% of these 139 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $31.69.

Manufacturer Payment Nature Product Type Amount ($)
Olympus America Inc.
Food and Beverage
In-kind items and services
SOLTIVE General $31.69

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
347 84 $194.00 $92.55
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
129 83 $286.00 $131.03
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
100 46 $148.00 $63.91
99316 Nursing facility discharge management, more than 30 minutes
56 47 $232.00 $113.02

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Atorvastatin Calcium Atorvastatin Calcium 20 515 $242.25 12
Potassium Chloride Potassium Chloride 16 278 $186.02 โ€”
Gabapentin Gabapentin 15 392 $196.61 โ€”
Simvastatin Simvastatin 14 395 $187.11 โ€”
Metformin Hcl Er Metformin Hcl 13 390 $159.02 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-01-16
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IL 209-009758

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES IL 209-009758
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20121205000475

Enrollment State Jurisdiction

IL

PECOS Control ID

1557513157

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

2285 Sequoia Dr

Aurora, IL 605066209

Phone: 6308596800

801 S Washington St

Naperville, IL 605407430

Phone: 8477386069

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
Dr. Indu Agarwal , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1831573898

Doctor of Medicine (M.D.)

Chad Anderson , PA-C

Physician Assistant - Surgical

NPI 1487054771

Physician Assistant (Certified)

NPI 1588241301

Doctor of Medicine (M.D.)

NPI 1720613854

Doctor of Medicine (M.D.), Master of Business Administration

NPI 1639804933

APNCNP

Dr. Thomas Cibull , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003000134

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
๐Ÿ“
Updated Practice Location January 16, 2024

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475702040)

๐Ÿ“
Updated Business Mailing Address January 16, 2024

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475702040)

๐Ÿ‘ค
Provider Name / Credentials Updated January 16, 2024

Recorded as SAMANTHA JOHNSON, APN

๐Ÿ“
Updated Practice Location November 18, 2021

Registered at 2285 SEQUOIA DR, AURORA, IL 605066209 (Tel: 6308596800)

๐Ÿ“
Updated Business Mailing Address November 18, 2021

Registered at 28594 NETWORK PL, CHICAGO, IL 606731285 (Tel: 8473905900)

โœ…
NPI Profile Active August 21, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location August 21, 2017

Registered at 741 E LINCOLN AVE, HINCKLEY, IL 605209500 (Tel: 8152869256)

๐Ÿ“
Updated Business Mailing Address August 21, 2017

Registered at 741 E LINCOLN AVE, HINCKLEY, IL 605209500 (Tel: (815) 286-9256)

๐Ÿ‘ค
Provider Name / Credentials Updated August 21, 2017

Recorded as SAMANTHA JOHNSON, NP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2017

Nurse Practitioner (license number reported to NPPES: IL 209-009758)

โœ…
NPI Profile Active August 28, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) August 28, 2015

Registered at 801 S WASHINGTON ST, NAPERVILLE, IL 605407430 (Tel: 8477386069)

๐Ÿ“
Business Mailing Address (Initial Record) August 28, 2015

Registered at 801 S WASHINGTON ST, NAPERVILLE, IL 605407430 (Tel: 8477386069)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) August 28, 2015

Recorded as SAMANTHA JOHNSON, NP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2015

Nurse Practitioner (license number reported to NPPES: IL 209-009758)

๐ŸŸข
Initial NPI Registration & Enumeration October 12, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689926784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2012
Last Update: January 16, 2024
Sole Proprietor: No

Other Nurse Practitioners in Evanston

All Nurse Practitioners in Evanston

Mailing Address

2650 Ridge Ave

Evanston, IL 602011700

Phone: 8475702040

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.