Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Michelle Johnson

Individual provider Registered Nurse · NPI 1124760137

Alyssa Michelle Johnson is a Nurse Practitioner in Henderson, North Carolina. Qualified in 2022, 4 years ago. Practices with Vance Family Medicine PA, a 31-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

381 Ruin Creek Rd
Henderson, NC 27536-2932
Phone: (252) 430-0666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5016785 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 269713 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F0822069 (NC)

Record details

NPI number1124760137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 11, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022
Mailing address381 Ruin Creek Rd, Henderson, NC 27536-2932

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Vance Family Medicine Pa — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Henderson