Melissa Kay Johnson, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

A130336 Issued in IA

Practice address

5409 N Knoxville Ave
Peoria, IL 61614-5069

Phone

(309) 691-1069

NPI assigned

Dec 16, 2016

Sex

Female

Sole proprietor

No

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 IL, IA2 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 2

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians

Vituity-Iowa PLLCGroup PAC ID 3476909409, 29 clinicians

Iowa Emergency Services LLCGroup PAC ID 3678837580, 8 clinicians

Trinity Medical CenterGroup PAC ID 2264337518, shared by 4 NPIs, 97 clinicians

Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carle Health Proctor Hospital Hospital, Peoria, IL, CCN 140013
• Carle Health Pekin Hospital Hospital, Pekin, IL, CCN 140120
• Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080
• Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280

Merit-based Incentive Payment System (MIPS)

Final score

80.57 of 100Reported as group

Quality

71.8

Improvement activities

40

Cost

80.85

Merit-based Incentive Payment System (MIPS)

Final score

34.85 of 100Reported as group

Quality

21.4

Improvement activities

0

Cost

76.92

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mjohnsonaprn444370@carlehiedirect.net
• Direct secure messaging: mjohnson3933750@direct.trinity-health.org
• Direct secure messaging: mjohnson1220464@direct.unitypoint.org

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.

• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Medicare reassignment Care Compare group NPD
• Genesis Health System

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  Medicare reassignment Care Compare group NPD
• Iowa Emergency Services LLC

  • Emergency Medicine Physician
  • Clinton, IA
  • NPI 1821591454

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Vituity-Iowa PLLC

  • Emergency Medicine Physician
  • Davenport, IA
  • NPI 1437932928
  Medicare reassignment Care Compare group NPD
• Carle Health Care Incorporated

  • Internal Medicine Physician
  • Urbana, IL
  • NPI 1154653947
  Medicare reassignment NPD
• Methodist Medical Center of Illinois

  • Emergency Care Clinic/Center
  • Peoria, IL
  • NPI 1265966048
  Medicare reassignment NPD
• Methodist Medical Center of Illinois

  • Rehabilitation Hospital Unit
  • Peoria, IL
  • NPI 1982656575
  Medicare reassignment NPD
• Trinity Medical Center

  • Psychiatry Physician
  • Rock Island, IL
  • NPI 1033163829

  IA, Nurse Practitioner

  Medicare reassignment NPD
• Trinity Medical Center

  • Emergency Medicine Physician
  • Rock Island, IL
  • NPI 1568414134

  Nurse Practitioner

  Medicare reassignment NPD
• Unity Healthcare

  • Internal Medicine Physician
  • Muscatine, IA
  • NPI 1629122742
  Medicare reassignment NPD
• CGH Medical Center

  • Durable Medical Equipment & Medical Supplies
  • Morrison, IL
  • NPI 1447415724
  NPD
• Methodist Medical Center of Illinois

  • General Acute Care Hospital
  • Peoria, IL
  • NPI 1164474755

  Nurse Practitioner

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pekin Memorial Hospital

  • General Acute Care Hospital
  • Pekin, IL
  • NPI 1245227479
  Care Compare affiliation
• Proctor Community Hospital

  • General Acute Care Hospital
  • Peoria, IL
  • NPI 1033116876
  Care Compare affiliation
• Proctor Community Hospital

  • Rehabilitation Hospital Unit
  • Peoria, IL
  • NPI 1134826894
  Care Compare affiliation
• Trinity Medical Center

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation
• Mercy Medical Center-Clinton, Inc

  • General Acute Care Hospital
  • Clinton, IA
  • NPI 1427093962
  Care Compare affiliation
• Trinity Medical Center

  • General Acute Care Hospital
  • Bettendorf, IA
  • NPI 1124110820
  Care Compare affiliation

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1942744495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ILLINI DRIVE",
            "address_2": "ECHO QC, LTD",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821804",
            "telephone_number": "309-281-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145069",
            "telephone_number": "309-691-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MELISSA",
        "middle_name": "KAY",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A130336",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F1216074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn M Johnson, APN, CNP
• Katherine Johnson, MSW
• Kathleen Johnson
• Kyle Johnson, D.C.
• Leslie E Johnson, M.D.
• Michael Johnson, MD
• Michelle D Johnson, APN
• Michelle Elise Johnson, MT
• Moriah Johnson, APRN-FNP-C
• Norman Richard Johnson, M.D.

• Nurse Practitioner in Peoria, IL
• Providers in Peoria, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.

Verify at the official NPI Registry.