MELINDA JO JOHNSON (M.A., CCC-A) – Audiologist, NPI 1609844109

MELINDA JO JOHNSON (M.A., CCC-A) is a healthcare provider. based in Mount vernon, Indiana. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials M.A., CCC-A. They hold a License No. 23002383A (IN). The NPI Number for MELINDA JO JOHNSON (M.A., CCC-A) is 1609844109

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MELINDA JO JOHNSON (M.A., CCC-A)
NPI
1609844109
Phone
Not provided
Address
8215 KRYSTAL LN
Enumeration Date
9 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8124252646
Graduation Year
2003 (23 years ago)
PAC ID
3173543576
Group Practice PAC ID
3375610116
Professional Enrollment ID
I20051130000582
Address ID
IN477101782EV350XXSTXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

249 QUALIFIED AUDIOLOGIST in IN

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Provider Addresses for MELINDA JO JOHNSON (M.A., CCC-A)

  • 8215 KRYSTAL LN

    MOUNT VERNON, IN 476208661

    Phone:

    Type: Mailing

  • 3801, Bellemeade Avenue, Evansville, Vanderburgh County, Indiana, 47714, United States

    EVANSVILLE, IN 477140100

    Phone: (812) 425-2646

    Fax: (812) 471-0154

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051130000582IQualified AudiologistINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47620)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375610116View full group profile
NameSpecialtyState
Family PracticeIN
Family PracticeMI
Family PracticeIN
-IN
Nurse PractitionerIN
-TN
Nurse PractitionerIN
-KY
Physician AssistantOH
Internal Medicine, Geriatric MedicineIN

Reviews

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Frequently asked questions

What unique ID ties claims to MELINDA JO JOHNSON (M.A., CCC-A)?
NPI 1609844109 is assigned to MELINDA JO JOHNSON (M.A., CCC-A) under the national enumeration system.
Does this profile mean MELINDA JO JOHNSON (M.A., CCC-A) is currently active?
Yes — MELINDA JO JOHNSON (M.A., CCC-A) appears active in the national provider directory.
What field does MELINDA JO JOHNSON (M.A., CCC-A) work in?
You can think of MELINDA JO JOHNSON (M.A., CCC-A) as practicing within Audiologist. Clinical services aligned with this taxonomy classification.
Where does public data place MELINDA JO JOHNSON (M.A., CCC-A)?
The snapshot lists Mount Vernon, Indiana for MELINDA JO JOHNSON (M.A., CCC-A); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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