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MELISSA ANNE JOHNSON APRN
NPI 1801435607
Nurse Practitioner - Psychiatric/Mental Health in Bend, OR

Active since December 27, 2019PECOS Enrolled
17151 ISLAND LOOP WAY, BEND, OR 97707(360) 927-0878 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melissa Anne Johnson Aprn NPPES

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

MELISSA ANNE JOHNSON APRN (NPI 1801435607) is an individual psychiatric/mental health provider in Bend, Oregon, licensed in Oregon (NP10055957) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1801435607
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMELISSA ANNE JOHNSONCredential: APRN
Location Address17151 ISLAND LOOP WAYBend, OR 97707-2209
Mailing Address17151 Island Loop WayBend, OR 97707-2209
Phone(360) 927-0878
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 27, 2019
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1801435607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OR · NP10055957✔ Licensed in WA · AP61346876
Also ListedRegistered NurseTaxonomy 163W00000X · License RN10055957 (OR)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN60562796 (WA)
17151 ISLAND LOOP WAY, Bend, OR 97707
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID648739011
PECOS Enrollment IDI20260826001993
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.

Mindful Therapy Group PC
277 mi
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Oregon enrollment
  • 234 clinicians in this Medicare group
NPI 1316238678 (425) 640-7009

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97707 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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 1801435607. It was assigned to this individual provider in the NPPES registry on December 27, 2019.

Where is Melissa Johnson located?

Melissa Johnson practices at 17151 Island Loop Way, Bend, OR 97707. The listed phone number is (360) 927-0878.

What is Melissa Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Melissa Johnson enrolled in Medicare?

Yes. Melissa Johnson is registered in the Medicare PECOS enrollment system.

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 Mindful Therapy Group PC (Mountlake Terrace, WA). 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.

When was this NPI record last updated?

The NPPES record for Melissa Johnson was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.