Active NPI
Melissa Stephany Johnson, APRN
- Family Nurse Practitioner
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11018550
- Practice address
- 5401 Corporate Woods Dr Ste 100
Pensacola, FL 32504-8974 - Phone
- (850) 969-2340
- NPI assigned
- Mar 9, 2022
- Last updated
- Feb 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11018550 | FL | Primary |
| Registered Nurse | 163W00000X | 9362353 | FL |
Addresses
Primary practice location
5401 Corporate Woods Dr Ste 100
Pensacola, FL 32504-8974
Mailing address
8333 N Davis Hwy
Pensacola, FL 32514-6049
Phone (850) 969-2340
Other practice location 1
41 Fairpoint Dr
Gulf Breeze, FL 32561-4396
Phone (850) 969-2340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250311000076 | VI | Practitioner - Nurse Practitioner | 3779960851 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Frederiksted Health Care, Inc.
Practice addresses (Care Compare)
516 Strand St
Frederiksted, VI 00840-3533
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9362353 | FL | MD | Registered Nurse |
| 11018550 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Medical Center Clinic PA | Past | Accepting new patients |
Interoperability endpoints
- melissa.johnson@medcenterclinic.direct.emds.com
Organizations & group practices 1
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.
-
dba Medical Center Clinic Ambulatory Surgical Center
- Ambulatory Surgical Clinic/Center
- Pensacola, FL
- NPI 1043396245
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1396492245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146049",
"telephone_number": "850-969-2340",
"fax_number": "850-969-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 CORPORATE WOODS DR STE 100",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048974",
"telephone_number": "850-969-2340"
}
],
"practiceLocations": [
{
"address_1": "41 Fairpoint Dr",
"address_purpose": "LOCATION",
"city": "Gulf Breeze",
"state": "FL",
"postal_code": "325614396",
"country_code": "US",
"telephone_number": "850-969-2340",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEPHANY JOHNSON",
"first_name": "MELISSA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-09",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11018550",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9362353",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.