MELISSA B JOHNSON APNP
NPI 1558965640
Nurse Practitioner in Green Bay, WI

Q: What is Melissa Johnson's NPI number?

The NPI number for Melissa Johnson is 1558965640. It was assigned to this individual provider in the NPPES registry on November 30, 2020.

Q: What is Melissa Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Johnson was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since November 30, 2020PECOS Enrolled

2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-8000 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 16, 2022, Aug 23, 2022, Nov 30, 2020 (3 updates tracked since 2020).

On this page

About Melissa B Johnson Apnp NPPES

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

MELISSA B JOHNSON APNP (NPI 1558965640) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (10589) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1558965640

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELISSA B JOHNSONCredential: APNP

Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519

Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843

Phone(920) 288-8000

Sole ProprietorNo

Enumeration DateNovember 30, 2020

Last NPPES UpdateNovember 16, 20223 updates tracked since enumeration

NPPES CertifiedNovember 16, 2022

✔ NPI 1558965640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 10589

Definition

(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.

Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License 10589 (WI)

2845 GREENBRIER RD, Green Bay, WI 54311

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Secondary Practice Location 1

Location 11726 Shawano AveGreen Bay, WI 54303-3282 · Phone (920) 498-4200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa B Johnson Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

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 20

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

AMRITHA CHANDRAHASA KARKERA M.D.

Internal Medicine (Hematology & Oncology)