DR. MELISSA M. KNUDSON-JOHNSON (M.D.) – Internal Medicine Physician, NPI 1518124114
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MELISSA M. KNUDSON-JOHNSON (M.D.)
3632 AMERICAN WAY
CASPER, WY 82604
Phone: (307) 234-6765
Fax: (307) 234-6998
Type: Mailing
940 E 3RD ST STE 203
CASPER, WY 826013251
Phone: (307) 333-6940
Fax: (888) 964-2162
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: 2015-10-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151006002990 | I | Internal Medicine | WY | TBD |
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.
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 82604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | WY | 90670 | Pneumococcal vaccine for injection into muscle | 16 | 16 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WY | |
| - | WY | |
| - | OK | |
| - | WY | |
| - | TX | |
| - | MT | |
| - | WY | |
| Family Practice | WY | |
| N E P H R O L O G Y | WY | |
| - | WY |
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