Individual provider Active NPI

Melissa Jean Owen, DC

  • Chiropractor
  • Chesterton, IN
National Provider Identifier
1013674142
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003272A Issued in IN
Practice address
761 Indian Boundary Rd Ste 4
Chesterton, IN 46304-1587
Phone
(219) 250-2242
Fax
(219) 250-2958
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003272A IN Primary

Addresses

Primary practice location

761 Indian Boundary Rd Ste 4
Chesterton, IN 46304-1587

Mailing address

2568 Brandt St
Portage, IN 46368-1842
Phone (219) 331-8022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211210000223 IN Practitioner - Chiropractic 3072903863 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles (5 of 8)

OrganizationSpecialtyStatusNew patients
Northshore Health Centers, Inc. CurrentSince Nov 29, 2021 Accepting new patients
Northshore Health Centers, Inc Chiropractor CurrentSince Nov 29, 2021 Accepting new patients
Bloom Chiropractic & Wellness Chiropractor CurrentSince Feb 9, 2025 Accepting new patients
Northshore Health Centers Inc Current Accepting new patients
Bozovich Chiropractic Center, Inc Chiropractor Past Accepting new patients

Locations

6050 Sterling Creek Rd
Portage, IN 46368
Phone (219) 212-0188

Networks

  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • KY PPO
  • IL HMO C-SNP

Interoperability endpoints

  • Direct secure messaging: melissa.duvall.p1@direct.northshorehealth.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1013674142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 BRANDT ST",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463681842",
            "telephone_number": "219-331-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 INDIAN BOUNDARY RD STE 4",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041587",
            "telephone_number": "219-250-2242",
            "fax_number": "219-250-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003272A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterton, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.