DR. MELANIE JOHNSON D.P.M. NPI 1053639732

NPI Information

  • NPI: 1053639732
  • Provider Name: DR. MELANIE JOHNSON, D.P.M.
  • Classification: Podiatrist - 213ES0131X
  • Specialization: Foot Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4653 WHITE BEAR PKWY
    WHITE BEAR LAKE, MN
    ZIP 55110
  • Phone: (651) 426-3995

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NPI Details

DR. Melanie Johnson, D.P.M. is a foot surgery podiatrist in White Bear Lake, MN with 15 years of experience. DR. Melanie Johnson, D.P.M. NPI is 1053639732. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2010

The provider's business location address is:

4653 WHITE BEAR PKWY
WHITE BEAR LAKE, MN
ZIP 55110
Phone: (651) 426-3995
Fax: (651) 426-5626

The NPI 1053639732 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)

The enumeration date for this NPI number is 5/5/2010 and was last updated on 10/23/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0131XPodiatristFoot Surgery939MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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