Samantha Kohen Josen, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085006011 Issued in IL

Practice address

3021 Falling Waters Blvd Ste a
Lindenhurst, IL 60046-6745

Phone

(847) 356-9300

NPI assigned

Dec 30, 2016

Sex

Female

Sole proprietor

No

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

• Lake County Immediate Care, LLC

  • Urgent Care Clinic/Center
  • Waukegan, IL
  • NPI 1285048975

  IL

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Dupage Hospital Association

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810

  Hospital

  Care Compare affiliation
• Central Dupage Hospital Association

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake County Immediate Care, LLC 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 30, 2016.

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1447795331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 ASPEN DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891314",
            "telephone_number": "847-612-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 FALLING WATERS BLVD STE A",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600466745",
            "telephone_number": "847-356-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEN",
        "first_name": "SAMANTHA",
        "middle_name": "KOHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085006011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JLDC Inc.
• JNK Anesthesia PLLC
• Jennifer Ann Johnson, MOTR/L
• Jelissa Jones
• Esha Jose, FNP
• Beata Kaczkowski, NP-C
• Grace Ann Kao, M.D.
• Amy Christine Kaylor, PHARMD
• Christine Kharasch, MD
• Kristoffer Daniel Knapp, PA-C

• All providers in Lindenhurst, IL
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.