Melissa Johnson, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Nashville, Tennessee. Her current practice location is
3601 The Vanderbilt Clinic, Nashville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 936-2000.
Melissa Johnson is licensed to practice in Tennessee (license number 25053) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174096838.
Physician's Profile
Full Name | Melissa Johnson |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 3601 The Vanderbilt Clinic, Nashville, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1174096838
- Provider Enumeration Date: 01/05/2019
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698100733
- Enrollment ID: I20200116003031
Medical Identifiers
Medical identifiers for Melissa Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174096838 | NPI | - | NPPES |
25053 | Other | TN | ADVANCED PRACTICE REGISTERED NURSE |
185900 | Other | TN | REGISTERED NURSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | 25053 (Tennessee) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | 25053 (Tennessee) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 25053 (Tennessee) | Primary |
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 Johnson allows following entities to bill medicare on her behalf.
Entity Name | Vanderbilt University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369 |
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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 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 Address | Practice Location Address |
Melissa Johnson, CPNP-AC 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: () - | Melissa Johnson, CPNP-AC 3601 The Vanderbilt Clinic, Nashville, TN 37232-0914 Ph: (615) 936-2000 |
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