Melissa M. Knudson-Johnson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10050A Issued in WY

Practice address

940 E 3Rd St Ste 203
Casper, WY 82601-3251

Phone

(307) 333-6940

Fax

(888) 964-2162

NPI assigned

May 21, 2008

Last updated

Jun 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drknudson@children1stpediatricsassofwy.opdirect.net

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.

• Banner Hospital Based Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Casper, WY
  • NPI 1619464120
  Medicare reassignment NPD
• Children 1St Pediatrics Associates of Wyoming, LLC

  • Pediatrics Physician
  • Casper, WY
  • NPI 1710684543
  NPD Authorized official
• Children 1St Pediatrics, LLC

  • Pediatrics Physician
  • Casper, WY
  • NPI 1598393332
  NPD Authorized official
• Banner Hospital Based Physicians West LLC

  • Multi-Specialty Clinic/Center
  • Ogallala, NE
  • NPI 1144025446
  NPD
• Wyoming Brain and Spine Associates LLC

  • Neurological Surgery Physician
  • Casper, WY
  • NPI 1649209800
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1518124114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 203",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013251",
            "telephone_number": "307-333-6940",
            "fax_number": "888-964-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E 3RD ST STE 203",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013251",
            "telephone_number": "307-333-6940",
            "fax_number": "888-964-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUDSON-JOHNSON",
        "first_name": "MELISSA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "10050A",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "10050A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Marie Knoepfle, M.S.
• Anna Marie Knopp
• Robert Denis Knowles, PSY D
• Daniel B Knox, M.D.
• Jacqueline R Knox
• Tara L Kobielusz, CASE MANAGER
• Kodiak Anesthesia PC (Matthew D.Chynoweth)
• Kodiak Anesthesia PC
• John Phillip Koffman, EDUCATION SPECIALIST
• Patricia Ann Kolarik, BA

• Internal Medicine Physician in Casper, WY
• Providers in Casper, WY by specialty
• Internal Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.