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

Melody B Johnson, PA-C

Individual provider Physician Assistant · NPI 1386295954

Melody B Johnson, PA-C is a Physician Assistant in Eagan, Minnesota. Qualified in 2019, 7 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Alabama, Colorado, Delaware and Florida and 11 more.

Years since qualifying
7
Licensed in
AL, CO, DE, FL, GA, IA
In the registry since
2019
Specialties on file
15
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 211699
Eagan, MN 55121-3699
Phone: (866) 849-0692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2925 Chicago Ave, Minneapolis, MN 55407-1321 — (612) 863-4000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13206 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 50.010217RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 0110011741 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C5-0012484 (DE)
Physician Assistant Taxonomy 363A00000X · Licence 14287809-1206 (UT)
Physician Assistant Taxonomy 363A00000X · Licence 085012093 (IL)
Physician Assistant Taxonomy 363A00000X · Licence PA9121569 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 2856 (AL)
Physician Assistant Taxonomy 363A00000X · Licence 14133 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA.0009681 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA.70143677 (WA)
Physician Assistant Taxonomy 363A00000X · Licence 3473 (NE)
Physician Assistant Taxonomy 363A00000X · Licence 0010-16547 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 10005425A (IN)
Physician Assistant Taxonomy 363A00000X · Licence 137640 (IA)

Record details

NPI number1386295954
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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