MELANIE JOHNSTON NP
NPI 1811559115
Nurse Practitioner - Adult Health in Rochester, NY

Active since July 08, 2019PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
601 ELMWOOD AVE # 704, ROCHESTER, NY 14642(612) 275-5823(585) 273-1051 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 3, 2023, Jan 31, 2020, Nov 18, 2019 and 1 more (4 updates tracked since 2019).

About Melanie Johnston Np NPPES

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

MELANIE JOHNSTON NP (NPI 1811559115) is an individual adult health provider in Rochester, New York, licensed in New York (309253) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with F F Thompson Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811559115
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMELANIE JOHNSTONCredential: NP
Location Address601 ELMWOOD AVE # 704Rochester, NY 14642-0001
Mailing Address601 Elmwood Avenue Box #704Rochester, NY 14642-3429
Fax(585) 273-1051
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 8, 2019
Last NPPES UpdateJuly 3, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2020
✔ NPI 1811559115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 309253
601 ELMWOOD AVE # 704, Rochester, NY 14642

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

Melanie Johnston Np 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 ID1153651146
PECOS Enrollment IDI20190917003279
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 Reassignments

2

Medicare enrollment records show Melanie Johnston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology
601 ELMWOOD AVE
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 154 clinicians in this Medicare group
General Acute Care Hospital
601 ELMWOOD AVE, BOX 684
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 1,624 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services16 patients

Hospital Affiliations CMS Care Compare 2

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

F F Thompson Hospital

Acute Care Hospitals · Canandaigua, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330074
Location350 Parrish StreetCanandaigua, NY 14424 · Ontario County
Emergency services Birthing friendly

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

Other Providers at the Same Location NPPES 3

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

Physician Assistant
601 ELMWOOD AVE # 704
ROCHESTER, NY 14642
Physician Assistant
601 ELMWOOD AVE # 704
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE # 704
ROCHESTER, NY 14642

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 Melanie Johnston's NPI number?

The NPI number for Melanie Johnston is 1811559115. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Where is Melanie Johnston located?

Melanie Johnston practices at 601 Elmwood Ave # 704, Rochester, NY 14642. The listed phone number is (612) 275-5823.

What is Melanie Johnston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Melanie Johnston enrolled in Medicare?

Yes. Melanie Johnston 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 organizations bill Medicare for Melanie Johnston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Johnston reassigns Medicare benefits to 2 organizations: Hematology Clinical Group (Rochester, NY) and University Of Rochester (Rochester, NY). Each 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 Melanie Johnston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Melanie Johnston affiliated with any hospitals?

According to CMS data, Melanie Johnston is affiliated with F F Thompson Hospital and Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Johnston was last updated on July 3, 2023. 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.