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MELISSA KAY JOHNSON NP-C
NPI 1942744495
Nurse Practitioner in Peoria, IL

Active since December 16, 2016PECOS EnrolledAccepts Medicare Assignment
28.55/100
CMS Quality Rating
5409 N KNOXVILLE AVE, PEORIA, IL 61614(309) 691-1069 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2023, Dec 16, 2016 (2 updates tracked since 2016).

About Melissa Kay Johnson Np-c NPPES

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

MELISSA KAY JOHNSON NP-C (NPI 1942744495) is an individual nurse practitioner in Peoria, Illinois, licensed in Iowa (A130336) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1942744495
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELISSA KAY JOHNSONCredential: NP-C
Location Address5409 N KNOXVILLE AVEPeoria, IL 61614-5069
Mailing Address801 Illini Drive, Echo Qc, LtdSilvis, IL 61282-1804 · (309) 281-4074
Phone(309) 691-1069
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 16, 2016
Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1942744495 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 IA · A130336
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 · FamilyTaxonomy 363LF0000X · License F1216074 (IL)
5409 N KNOXVILLE AVE, Peoria, IL 61614
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

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

Melissa Kay Johnson Np-c 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 ID9638456007
PECOS Enrollment IDI20170512000737, I20180618002299
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

8

Medicare enrollment records show Melissa Johnson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Medical Center Of Illinois
3.6 mi
General Acute Care Hospital
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1265966048 (Illinois)
  • 693 clinicians in this Medicare group
NPI 1164474755 (309) 672-5522
Genesis Health System
67 mi
General Acute Care Hospital
801 ILLINI DR
Silvis, IL 61282
  • Reassigned Medicare billing, Illinois enrollment
  • 198 clinicians in this Medicare group
NPI 1427132604 (309) 281-4000
Trinity Medical Center
71 mi
Emergency Medicine
2701 17TH ST
Rock Island, IL 61201
  • Reassigned Medicare billing, Iowa and Illinois enrollments
  • 138 clinicians in this Medicare group
NPI 1568414134 (309) 779-5000
Cgh Medical Center
73 mi
General Acute Care Hospital
100 E LE FEVRE RD
Sterling, IL 61081
  • Reassigned Medicare billing, Illinois enrollment
  • 356 clinicians in this Medicare group
NPI 1902854623 (815) 625-0400
Vituity-Iowa PLLC
74 mi
Emergency Medicine
2140 53RD AVE
Bettendorf, IA 52722
  • Reassigned Medicare billing, Iowa enrollment
  • 53 clinicians in this Medicare group
NPI 1871378752 (563) 421-5700
Iowa Emergency Services LLC
82 mi
Emergency Medicine
1410 N 4TH ST
Clinton, IA 52732
  • Reassigned Medicare billing, Iowa enrollment
  • 34 clinicians in this Medicare group
NPI 1821591454 (563) 244-5555
Carle Health Medical Group
85 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Unity Healthcare
89 mi
Internal Medicine
1518 MULBERRY AVE
Muscatine, IA 52761
  • Reassigned Medicare billing, Iowa enrollment
  • 113 clinicians in this Medicare group
NPI 1629122742 (563) 264-9424

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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
212 services202 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
144 services139 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
75 services72 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160080
Location1410 North 4th StreetClinton, IA 52732 · Clinton County
Emergency services Birthing friendly

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160104
Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

28.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality21.38
Improvement Activities0
Cost55.97

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.

PROCTOR COMMUNITY HOSPITAL
General Acute Care Hospital
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
CHELSEA KREJCI
Nurse Practitioner (Family)
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
MRS. NICOLE LOVIN APN-CNP
Nurse Practitioner (Family)
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
MONICA EVERETT PA-C
Physician Assistant
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
DAVID TENNANT
Family Medicine
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
ERIN K HOCKER OTR/L
Occupational Therapist
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
PROCTOR COMMUNITY HOSPITAL
Psychiatric Unit
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
PROCTOR COMMUNITY HOSPITAL
Rehabilitation Unit
5409 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000

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 1942744495. It was assigned to this individual provider in the NPPES registry on December 16, 2016.

Where is Melissa Johnson located?

Melissa Johnson practices at 5409 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 691-1069.

What is Melissa Johnson's specialty?

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

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 organizations bill Medicare for Melissa Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Johnson reassigns Medicare benefits to 8 organizations: Methodist Medical Center Of Illinois (Peoria, IL), Genesis Health System (Silvis, IL), Trinity Medical Center (Rock Island, IL), Cgh Medical Center (Sterling, IL), Vituity-Iowa PLLC (Bettendorf, IA) and 3 more organizations, listed in the Medicare section above. 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 Melissa Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Johnson accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Melissa Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Melissa Johnson affiliated with any hospitals?

According to CMS data, Melissa Johnson is affiliated with Proctor Hospital, Pekin Memorial Hospital, Trinity Rock Island, Mercyone Clinton Medical Center and Trinity - Bettendorf.

When was this NPI record last updated?

The NPPES record for Melissa Johnson was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.