Samantha K Johnson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5286-12 Issued in WI

Practice address

187 East Main
Ellsworth, WI 54011

Phone

(715) 273-4115

NPI assigned

Jun 21, 2017

Last updated

Apr 30, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ellsworth Chiropractic and Wellness LLCGroup PAC ID 7012422926, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ellsworth Chiropractic & Wellness LLC

  • Chiropractor
  • Ellsworth, WI
  • NPI 1235927930
  Medicare reassignment Care Compare group NPD Authorized official
• Ellsworth Chiropractic Inc

  • Chiropractor
  • Ellsworth, WI
  • NPI 1659557510
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1124548201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "ELLSWORTH",
            "state": "WI",
            "postal_code": "540110668",
            "telephone_number": "715-273-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 EAST MAIN",
            "city": "ELLSWORTH",
            "state": "WI",
            "postal_code": "54011",
            "telephone_number": "715-273-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SAMANTHA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5286-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Clifford Gillen, LPC
• Gregory W Bernard DC PA
• Paulette Kay Haus, RN
• Gary S Holden, CADCIII
• Kristie A Ineichen, PSYD LP
• Carrie Lynn Kern
• Knutson Family Dental
• Kaitlin Knutson, DDS
• Lindsey Kocina
• Amy Alissa Kohls, COTA

• Chiropractor in Ellsworth, WI
• Providers in Ellsworth, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.