Vanessa Emily Johnson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME132429 Issued in FL

Practice address

389 Commerce Pkwy Ste 160
Rockledge, FL 32955-4202

Phone

(321) 200-0346

NPI assigned

May 6, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Dermatology

Education

Vanderbilt University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shadetree Dermatology LLCGroup PAC ID 8628511227, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.79 of 100Reported as apm

Quality

86.5

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Shadetree Dermatology LLC

  • Dermatology Physician
  • Cocoa Beach, FL
  • NPI 1366297376
  Medicare reassignment Care Compare group NPD Authorized official
• Center for Skin Cancer Surgery, Inc.

  • MOHS-Micrographic Surgery Physician
  • Melbourne, FL
  • NPI 1871900233
  NPD (past)

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1972948875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BANANA RIVER BLVD FL 2",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315041",
            "telephone_number": "321-200-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 COMMERCE PKWY STE 160",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554202",
            "telephone_number": "321-200-0346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 S Banana River Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329315041",
            "country_code": "US",
            "telephone_number": "321-200-0346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "VANESSA",
        "middle_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME132429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "JC290Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Johnson
• Myla Jean Johnson, PHARM.D.
• Nancy Jean Johnson, MD
• Pamela Johnson, ARNP
• Tanya Johnson, LMHC
• Vaun Johnson, MED, BCBA
• Caroline Michelle Jones, PT, DPT
• Karawn Nicole Jones
• Michell Jones
• Roberto Jones

• Dermatology Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.