Melissa Kay Johnson, NP-C - Medicare Nurse Practitioner in Peoria, IL

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Melissa Kay Johnson, NP-C is a medicare enrolled "Nurse Practitioner" in Peoria, Illinois. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Genesis Health System, Vituity-iowa Pllc, Iowa Emergency Services Llc and her current practice location is 5409 N Knoxville Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 691-1069.

Melissa Kay Johnson is licensed to practice in Iowa (license number A130336) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942744495.

Contact Information

Melissa Kay Johnson, NP-C
5409 N Knoxville Ave,
Peoria, IL 61614-5069
(309) 691-1069
Not Available

Map and Direction




Provider's Profile

Full NameMelissa Kay Johnson
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location5409 N Knoxville Ave, Peoria, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Melissa Kay Johnson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1942744495
  • Provider Enumeration Date: 12/16/2016
  • Last Update Date: 10/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9638456007
  • Enrollment ID: I20170512000737

Medical Identifiers

Medical identifiers for Melissa Kay Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942744495NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner A130336 (Iowa)Primary
363LF0000XNurse Practitioner - Family F1216074 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Genesis Hlth System Dba Genesis Mdl Ctr-illiniSilvis, ILHospital
Genesis Medical Center-davenportDavenport, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Genesis Health System6103829338203
Vituity-iowa Pllc347690940926
Iowa Emergency Services Llc36788375808

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Melissa Kay Johnson allows following entities to bill medicare on her behalf.
Entity NameCgh Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902854623
PECOS PAC ID: 6103723267
Enrollment ID: O20031217000054
Entity NameGenesis Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427132604
PECOS PAC ID: 6103829338
Enrollment ID: O20060824000219

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Melissa Kay Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Melissa Kay Johnson, NP-C
801 Illini Drive, Echo Qc, Ltd,
Silvis, IL 61282-1804

Ph: (309) 281-4074		Melissa Kay Johnson, NP-C
5409 N Knoxville Ave,
Peoria, IL 61614-5069

Ph: (309) 691-1069

Reviews and Comments


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Sandra L. Peach, APN
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Phone: 309-655-2974    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.