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

Q: 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.

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 October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

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: August 09, 2026.

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

On this page

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 Medica.Insurance ›

Medicare Participation & PECOS CMS

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

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.

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

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140275

Location801 Illini DrSilvis, IL 61282 · 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

Quality

21.38

Improvement Activities

Cost

55.97

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