MRS. MELANIE RENAE JOHNSON (PA-C) – Medical Physician Assistant, NPI 1831590363

MRS. MELANIE RENAE JOHNSON (PA-C) is a healthcare provider. based in Saint marys, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA056954 (PA). The NPI Number for MRS. MELANIE RENAE JOHNSON (PA-C) is 1831590363

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MELANIE RENAE JOHNSON (PA-C)
NPI
1831590363
Phone
(814) 788-8777
Address
761 JOHNSONBURG RD
Enumeration Date
16 September 2014
Last Update Date
23 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8143891026
Graduation Year
2014 (12 years ago)
PAC ID
4880911528
Group Practice PAC ID
8325320864
Professional Enrollment ID
I20150318000702
Address ID
PA158572828SA917XXSTXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

9,738 PHYSICIAN ASSISTANT in PA

Provider Addresses for MRS. MELANIE RENAE JOHNSON (PA-C)

  • 761 JOHNSONBURG RD

    SUITE #160

    SAINT MARYS, PA 158573483

    Phone: (814) 788-8777

    Fax: (814) 788-8770

    Type: Location

  • 100 HOSPITAL AVE

    DU BOIS, PA 158011440

    Phone: (814) 375-4200

    Fax: (814) 375-4232

    Type: Mailing

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: 2023-10-05

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150318000702IPhysician AssistantPATBD
I20231005001091IPhysician AssistantNYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10299$0
99203New patient office or other outpatient visit, 30-44 minutes3232$0
99214Established patient office or other outpatient visit, 30-39 minutes2221$0
99204New patient office or other outpatient visit, 45-59 minutes2020$0
81003Automated urinalysis test1514$0
View full utilization report →

Insurance plans in this area (ZIP 15857)

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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: 8325320864View full group profile

Reviews

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Frequently asked questions

Where can patients find MRS. MELANIE RENAE JOHNSON (PA-C)'s NPI?
You can confirm MRS. MELANIE RENAE JOHNSON (PA-C) with NPI 1831590363; it appears in the national provider directory.
Is MRS. MELANIE RENAE JOHNSON (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. MELANIE RENAE JOHNSON (PA-C)?
The page reflects Medical Physician Assistant for MRS. MELANIE RENAE JOHNSON (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. MELANIE RENAE JOHNSON (PA-C)?
The page summarizes Saint Marys, Pennsylvania for MRS. MELANIE RENAE JOHNSON (PA-C); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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