Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Melissa Bailey Johnson

Individual provider Registered Nurse · NPI 1235689233

Melissa Bailey Johnson is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2016, 10 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
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Practice location Address checks out

3400 Civic Center Blvd West Pavilion 1st Fl
Philadelphia, PA 19104-5127 Not confirmed with CMS for 10 years — call before visiting
Phone: (215) 662-3102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN583670 (PA)

Record details

NPI number1235689233
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 13, 2016
Last updated in NPPESOctober 13, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at University of Penn-Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 3401 clinicians in the practice; 12 are shown here.

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