Individual provider Active NPI

Melissa Ann Johnston, PA-C

  • Physician Assistant
  • Addison, TX
National Provider Identifier
1245863554
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108
Phone
(214) 370-3535
Fax
(214) 370-0004
NPI assigned
Feb 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108

Mailing address

17051 Dallas Pkwy Ste 400
Addison, TX 75001-7108
Phone (214) 370-3535

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
I20200429002627 TX Practitioner - Physician Assistant 0446680649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Texas Tech University Health Science Center School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Spine Consultants, LLPGroup PAC ID 5890850804, 14 clinicians

Practice addresses (Care Compare)

17051 Dallas Pkwy
Suite 400
Addison, TX 75001-7108
Phone (214) 370-3535

Hospital & facility affiliations

  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073
  • Baylor Scott and White Medical Center Uptown Hospital, Dallas, TX, CCN 450422
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Spine Consultants, LLP CurrentSince Aug 1, 2022 Accepting new patients
Texas Spine Consultants, LLP CurrentSince Aug 1, 2022 Accepting new patients

Locations

17051 Dallas Pkwy
Ste 400
Addison, TX 75001
Phone (469) 243-9390

4461 Coit Rd
Ste 101
Frisco, TX 75035
Phone (844) 557-4263

5757 Warren Pkwy
Ste 180
Frisco, TX 75034
Phone (214) 618-5502

3465 National Dr
Ste 200
Plano, TX 75025

4650 President George Bush Tpke
Ste 100
Sachse, TX 75048
Phone (972) 772-8767

Interoperability endpoints

  • Direct secure messaging: melissa.johnston.1@15749.direct.athenahealth.com

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 4

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1245863554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017108",
            "telephone_number": "214-370-3535",
            "fax_number": "214-370-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 DALLAS PKWY STE 400",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750017108",
            "telephone_number": "214-370-3535",
            "fax_number": "214-370-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.