Individual provider Active NPI

Melissa Johnson, FNP

  • Family Nurse Practitioner
  • Pasadena, TX
National Provider Identifier
1134466741
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
731131 Issued in TX
Practice address
927 Shaw Ave
Pasadena, TX 77506-1430
Phone
(713) 982-5900
Fax
(713) 982-5154
NPI assigned
Jan 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 731131 TX Primary

Addresses

Primary practice location

927 Shaw Ave
Pasadena, TX 77506-1430

Mailing address

927 Shaw Ave
Pasadena, TX 77506-1430
Phone (713) 982-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125000331 TX Practitioner - Nurse Practitioner 2062715162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baylor College of MedicineGroup PAC ID 8224941265, 796 clinicians

Practice addresses (Care Compare)

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

Hospital & facility affiliations

  • Harris Health Hospital, Houston, TX, CCN 450289
  • Ocean Medical Center Hospital, Brick, NJ, CCN 310052

Merit-based Incentive Payment System (MIPS)

Final score
92.87 of 100Reported as group
Quality
87.77
Improvement activities
40
Cost
76.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
731131TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Dec 8, 2015 Accepting new patients
Baylor College of Medicine CurrentSince Dec 8, 2015 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

12340 Jones Rd
Ste 100
Houston, TX 77070
Phone (713) 873-5240

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

927 Shaw Ave
Pasadena, TX 77506
Phone (713) 982-5168

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1134466741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 SHAW AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775061430",
            "telephone_number": "713-982-5900",
            "fax_number": "713-982-5154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 SHAW AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775061430",
            "telephone_number": "713-982-5900",
            "fax_number": "713-982-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "731131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.