Individual provider Active NPI

Melissa Johnson

  • Family Nurse Practitioner
  • Medway, MA
National Provider Identifier
1326519828
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
023512 Issued in OH
Practice address
67D Main St
Medway, MA 02053-1831
Phone
(401) 652-9787
NPI assigned
Dec 9, 2018
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC005663 MD
Family Nurse Practitioner 363LF0000X APRN11041616 FL
Family Nurse Practitioner 363LF0000X 359827 OH
Family Nurse Practitioner 363LF0000X 3017179 KY
Family Nurse Practitioner 363LF0000X RN2378857 MA
Family Nurse Practitioner 363LF0000X 71015498A IN
Family Nurse Practitioner 363LF0000X 023512 OH Primary
Family Nurse Practitioner 363LF0000X 0024188929 VA
Family Nurse Practitioner 363LF0000X 122334 WV

Addresses

Primary practice location

67D Main St
Medway, MA 02053-1831

Mailing address

4153 Headland CT
Mason, OH 45040-7683

Other identifiers 1

IdentifierTypeStateIssuer
023512OtherOHAPRN CNP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, DC, MD, WV, VA, MA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20190904002519 OH Practitioner - Nurse Practitioner 6103155957 Reassigns benefits to 2 organizations
I20220112002676 KY Practitioner - Nurse Practitioner 6103155957 Reassigns benefits to 1 organization
I20230829001661 DC Practitioner - Nurse Practitioner 6103155957 Reassigns benefits to 3 organizations
I20230829001760 MD Practitioner - Nurse Practitioner 6103155957 Reassigns benefits to 1 organization
I20240220000948 WV Practitioner - Nurse Practitioner 6103155957
I20240311003249 VA Practitioner - Nurse Practitioner 6103155957
I20250210002470 MA Practitioner - Nurse Practitioner 6103155957

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

119 S Western Ave
Unit 1
Chicago, IL 60612-4644

200 Highland Corporate Dr
Cumberland, RI 02864-1786

PO Box
Suite 772
Woonsocket, RI 02895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11041616FLMDFamily Medicine Physician
359827OHMDFamily Medicine Physician
122334WVMDFamily Medicine Physician
023512OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Specialists of Massachusetts PLLC CurrentSince Jan 29, 2025 Accepting new patients
Post Acute Specialists, LLC Family Medicine CurrentSince Jan 29, 2025 Accepting new patients
Molina Care Connections, LLC. CurrentSince Aug 19, 2019 Accepting new patients
In Post Acute Specialists, PC Family Medicine CurrentSince Jan 29, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

326 Country Club Dr
New Albany, IN 47150
Phone (812) 948-1131

4915 Charlestown Rd
New Albany, IN 47150
Phone (812) 945-5221

10820 Park Pl
Saint John, IN 46373
Phone (219) 351-5200

950 Highpoint Dr
Hopkinsville, KY 42240
Phone (270) 885-1151

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

1801 Turnpike St
North Andover, MA 01845
Phone (978) 454-8086

109 Forest Valley Dr
Forest Hill, MD 21050
Phone (410) 776-6038

1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273

200 Civic Ave
Salisbury, MD 21804
Phone (410) 749-1466

3000 Corporate Exchange Dr
Columbus, OH 43231
Phone (614) 942-3042

36855 Ridge Rd
Willoughby, OH 44094
Phone (440) 942-4342

9825 S Jordan Gtwy
Sandy, UT 84070

10701 Main St
Fairfax, VA 22030
Phone (703) 273-7705

1801 Camelot Dr
Virginia Beach, VA 23454
Phone (757) 481-3500

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1326519828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 HEADLAND CT",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67D MAIN ST",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531831",
            "telephone_number": "401-652-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-09",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC005663",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11041616",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "359827",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3017179",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2378857",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015498A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "023512",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024188929",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "122334",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN CNP",
            "identifier": "023512",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medway, MA

Sources for this page

Verify at the official NPI Registry.