Individual provider Active NPI

Melissa A Johnson, MD

  • Hospice and Palliative Medicine (Emergency Medicine) Physician
  • Lincoln, NE
National Provider Identifier
1659481224
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Emergency Medicine) PhysicianTaxonomy code 207PH0002X
License
22451 Issued in NE
Practice address
2300 S 16TH St
Lincoln, NE 68502-3704
Phone
(402) 481-3313
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M4217 TX
Emergency Medicine Physician 207P00000X 22451 NE
Hospice and Palliative Medicine (Emergency Medicine) Physician 207PH0002X 22451 NE Primary

Addresses

Primary practice location

2300 S 16TH St
Lincoln, NE 68502-3704

Mailing address

2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 481-3313

Other identifiers 3

IdentifierTypeStateIssuer
P00374461OtherTXRAILROAD MCARE THRU HEB
183091101MedicaidTX
8G7457OtherTXBCBS THRU HEB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040220000734 NE Practitioner - Hospice/Palliative CarePractitioner - Emergency Medicine 8325933930 Reassigns benefits to 2 organizations
I20070112000058 TX Practitioner - Emergency Medicine 8325933930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
University of Nebraska College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Physician NetworkGroup PAC ID 7315915873, 236 clinicians

Practice addresses (Care Compare)

1600 S 48TH St
Lincoln, NE 68506-1299

2300 S 16TH St
Bryan Medical Center
Lincoln, NE 68502-3704
Phone (402) 481-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
22451NEMDHospice and Palliative Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC CurrentSince Jan 1, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 3, 2014 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 3, 2014 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Bryan Physician Network CurrentSince Jul 1, 2023 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jan 25, 2014 Accepting new patients
Melissa Ann Johnson, PLLC Past Accepting new patients

Locations

800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660

800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

2300 S 16th St
Ste B
Lincoln, NE 68502

2222 S 16th St
Ste 400A
Lincoln, NE 68502
Phone (402) 475-8877

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

555 S 70th St
Lincoln, NE 68510
Phone (402) 219-8000

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

2750 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 782-8000

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

10864 Texas Health Trl
Fort Worth, TX 76244
Phone (682) 212-2000

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

Interoperability endpoints

  • Direct secure messaging: mjohnson162461@hisp.bryanhealth.org

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 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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1659481224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023704",
            "telephone_number": "402-481-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S 16TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023704",
            "telephone_number": "402-481-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M4217",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NE",
            "license": "22451",
            "primary": false
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "NE",
            "license": "22451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE THRU HEB",
            "identifier": "P00374461",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183091101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS THRU HEB",
            "identifier": "8G7457",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.