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DR. MELISSA ANN JOHNSON M.D.
NPI 1184618654
Obstetrics & Gynecology in Roseville, CA

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
3 MEDICAL PLAZA DR STE 260, ROSEVILLE, CA 95661(916) 773-7977(916) 773-7979 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 24, 2026, Dec 31, 2018 (2 updates tracked since 2018).

About Dr. Melissa Ann Johnson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MELISSA ANN JOHNSON M.D. (NPI 1184618654) is an individual obstetrics & gynecology provider in Roseville, California, licensed in California (C53137) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Baystate Medical Center, and maintains a secondary practice location in Auburn.

NPPES Registry Identity

NPI1184618654
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MELISSA ANN JOHNSONCredential: M.D.
Location Address3 MEDICAL PLAZA DR STE 260Roseville, CA 95661-3089
Mailing AddressPo Box 255228Sacramento, CA 95865-5228 · (800) 470-0071 · Fax (916) 854-6769
Phone(916) 773-7977
Fax(916) 773-7979
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1993
Enumeration DateSeptember 9, 2005
Last NPPES UpdateJuly 24, 20262 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1184618654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · C53137
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3 MEDICAL PLAZA DR STE 260, Roseville, CA 95661
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Secondary Practice Location 1

Location 13288 Bell RdAuburn, CA 95603-9243 · Phone (530) 886-6860 · Fax (916) 886-2379

Other Identifiers 1

Medicaid0197025MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Melissa Ann Johnson M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628046349
PECOS Enrollment IDI20090226000246
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sutter Medical Foundation
12 mi
Diagnostic Radiology
2800 L ST FL 7
Sacramento, CA 95816
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Sutter Valley Medical Foundation
  • 3,056 clinicians in this Medicare group
NPI 1942524095 (916) 731-7857

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95661 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN BRIGGS SPEARS
Obstetrics & Gynecology
3 MEDICAL PLAZA DR STE 260
ROSEVILLE, CA 95661
Placer County (916) 733-7877
MEERA CHONG MD
Obstetrics & Gynecology
3 MEDICAL PLAZA DR STE 260
ROSEVILLE, CA 95661
Placer County (916) 773-7977
KHANH HIEN THI TRAN MD
Obstetrics & Gynecology
3 MEDICAL PLAZA DR STE 260
ROSEVILLE, CA 95661
Placer County (916) 773-7977
DR. STACIE MACDONALD M.D.
Obstetrics & Gynecology
3 MEDICAL PLAZA DR STE 260
ROSEVILLE, CA 95661
Placer County (916) 773-7977
DR. CATHERINE KELSALL DODSON MD
Obstetrics & Gynecology
3 MEDICAL PLAZA DR STE 260
ROSEVILLE, CA 95661
Placer County (916) 773-7977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Johnson's NPI number?

The NPI number for Melissa Johnson is 1184618654. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Melissa Johnson located?

Melissa Johnson practices at 3 Medical Plaza Dr Ste 260, Roseville, CA 95661. The listed phone number is (916) 773-7977.

What is Melissa Johnson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Melissa Johnson enrolled in Medicare?

Yes. Melissa Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Melissa Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Johnson reassigns Medicare benefits to Sutter Medical Foundation (Sacramento, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Melissa Johnson affiliated with any hospitals?

According to CMS data, Melissa Johnson is affiliated with Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Melissa Johnson was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.