MELISSA D JOHNSON (PA) – Physician Assistant, NPI 1710231139

MELISSA D JOHNSON (PA) is a healthcare provider. based in Ozark, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2017033363 (MO). The NPI Number for MELISSA D JOHNSON (PA) is 1710231139

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA D JOHNSON (PA)
NPI
1710231139
Phone
(417) 551-4810
Address
4941 N TOWNE CENTRE DR
Enumeration Date
7 November 2012
Last Update Date
20 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4178203905
Graduation Year
2012 (14 years ago)
PAC ID
2466607510
Group Practice PAC ID
7416865845
Professional Enrollment ID
I20171130001993
Address ID
MO658042236SP2115XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,853 PHYSICIAN ASSISTANT in MO

Provider Addresses for MELISSA D JOHNSON (PA)

  • 4941 N TOWNE CENTRE DR

    OZARK, MO 657218280

    Phone: (417) 551-4810

    Fax: (417) 551-4818

    Type: Mailing

  • 1965 S FREMONT AVE STE 370

    SPRINGFIELD, MO 658042284

    Phone: (417) 820-0300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: Astellas Pharma US Inc ($59).

Total Amount

$125

General + Research + Ownership

Payments

4

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

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: 2017-11-30

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
I20171130001993IPhysician AssistantMOTBD

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test137119$0
99213Established patient office or other outpatient visit, 20-29 minutes7771$0
51798Ultrasound measurement of bladder capacity after voiding7561$0
81001Manual urinalysis test with examination using microscope, automated5851$0
99214Established patient office or other outpatient visit, 30-39 minutes5753$0
View full utilization report →

Insurance plans in this area (ZIP 65721)

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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: 7416865845View full group profile

Reviews

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Frequently asked questions

What is the standard ID for MELISSA D JOHNSON (PA) in the U.S.?
In the U.S., MELISSA D JOHNSON (PA) is identified by NPI 1710231139.
Does the public listing show MELISSA D JOHNSON (PA) as active?
MELISSA D JOHNSON (PA)'s NPI record reflects an active status in NPPES.
How should patients interpret MELISSA D JOHNSON (PA)'s specialty?
The extract shows Physician Assistant for MELISSA D JOHNSON (PA). Clinical services aligned with this taxonomy classification.
Can patients visit MELISSA D JOHNSON (PA) in Ozark, Missouri?
For routing, start with Ozark, Missouri for MELISSA D JOHNSON (PA), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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