MRS. MELISSA JOHNSON (A.P.R.N.) – Clinical Nurse Specialist, NPI 1104230598

MRS. MELISSA JOHNSON (A.P.R.N.) is a healthcare provider. based in Murray, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials A.P.R.N.. They hold a License No. 3007776 (KY). The NPI Number for MRS. MELISSA JOHNSON (A.P.R.N.) is 1104230598

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MELISSA JOHNSON (A.P.R.N.)
NPI
1104230598
Phone
(270) 753-0704
Address
300 S 8TH ST STE 380W
Enumeration Date
13 June 2014
Last Update Date
13 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2707530704
Graduation Year
2012 (14 years ago)
PAC ID
4385862424
Group Practice PAC ID
0840103297
Professional Enrollment ID
I20140902001642
Address ID
KY420712442MU300XXSTXX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MRS. MELISSA JOHNSON (A.P.R.N.)

  • 300 S 8TH ST STE 380W

    MURRAY, KY 420712442

    Phone: (270) 753-0704

    Fax: (270) 752-2852

    Type: Location

  • 300 S 8TH ST

    STE 480W

    MURRAY, KY 420712400

    Phone: (270) 753-0704

    Fax: (270) 752-2852

    Type: Location

  • 136 Wells Hall

    Murray, KY 420713318

    Phone: (270) 809-3809

    Fax: (270) 752-2852

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $821.

Total Amount is formed as General ($821) + Research ($0) + Ownership ($0) = $821.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($246).

Total Amount

$821

General + Research + Ownership

Payments

48

Total payment records

General Amount

$821

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-09-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (981 days ago).

Enrollment records

1

Earliest due date

2023-09-30

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
I20140902001642INurse PractitionerKY2023-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes348229$0
99213Established patient office or other outpatient visit, 20-29 minutes8778$0
96372Injection of drug or substance under skin or into muscle8565$0
J1885Injection, ketorolac tromethamine, per 15 mg6817$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg6416$0
View full utilization report →

Insurance plans in this area (ZIP 42071)

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Provider's Procedures

MRS. MELISSA JOHNSON (A.P.R.N.) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERKY81002Urinalysis, manual test2824

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: 0840103297View full group profile
NameSpecialtyState
Physician AssistantKY
-KY
Nurse PractitionerOH
H E M A T O L O G Y/ O N C O L O G YMO
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
O B S T E T R I C S/ G Y N E C O L O G YKY
General SurgeryKY
-KY

Reviews

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Frequently asked questions

How do payers reference MRS. MELISSA JOHNSON (A.P.R.N.)?
For MRS. MELISSA JOHNSON (A.P.R.N.), use NPI 1104230598 as the unique 10-digit identifier.
Active or inactive — what applies to MRS. MELISSA JOHNSON (A.P.R.N.)?
You should see MRS. MELISSA JOHNSON (A.P.R.N.) as active in CMS-hosted NPPES data.
What kind of doctor is MRS. MELISSA JOHNSON (A.P.R.N.)?
MRS. MELISSA JOHNSON (A.P.R.N.) is associated with Clinical Nurse Specialist in the directory — Clinical services aligned with this taxonomy classification.
Where in Kentucky is MRS. MELISSA JOHNSON (A.P.R.N.) registered?
Use Murray, Kentucky as the headline location for MRS. MELISSA JOHNSON (A.P.R.N.) here.
Does MRS. MELISSA JOHNSON (A.P.R.N.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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