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

Melissa Kay Johnson, NP-C

Individual provider Nurse Practitioner · NPI 1942744495

Melissa Kay Johnson, NP-C is a Nurse Practitioner in Peoria, Illinois. Qualified in 2016, 10 years ago. Practices with Vituity-Iowa PLLC, a 29-clinician group and accepts Medicare assignment. Licensed in Iowa and Illinois.

Years since qualifying
10
Licensed in
IA, IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone: (309) 691-1069
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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 A130336 (IA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F1216074 (IL)

Record details

NPI number1942744495
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedDecember 16, 2016
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

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 Vituity-Iowa Pllc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Peoria