Individual provider Active NPI

Melissa Grimes, FNP

  • Family Nurse Practitioner
  • Avon, IN
National Provider Identifier
1053860502
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71006562A Issued in IN
Practice address
8607 E US Highway 36 Ste 300
Avon, IN 46123-7960
Phone
(317) 718-7960
NPI assigned
Sep 26, 2016
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71006562A IN Primary

Addresses

Primary practice location

8607 E US Highway 36 Ste 300
Avon, IN 46123-7960

Mailing address

8607 E US Highway 36 Ste 300
Avon, IN 46123-7960
Phone (317) 718-7960

Other names 1

  • Melissa Richards Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa.richardsfnp.p2@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161117000999 IN Practitioner - Nurse Practitioner 4486933306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8607 E US Hwy 36
Suite 300
Avon, IN 46123-7960
Phone (317) 718-6600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71006562AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Health Network of Indiana LLC CurrentSince Oct 19, 2016 Accepting new patients
American Health Network of Indiana, LLC CurrentSince Oct 19, 2016 Accepting new patients

Locations

8607 E US Highway 36
Ste 300
Avon, IN 46123
Phone (317) 718-6600

10689 N Pennsylvania St
Ste 200
Carmel, IN 46280
Phone (317) 580-6309

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

3897 Charlestown Rd
New Albany, IN 47150
Phone (502) 495-3665

Interoperability endpoints

  • Direct secure messaging: mgrimes191364@direct.optum.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1053860502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 E US HIGHWAY 36 STE 300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237960",
            "telephone_number": "317-718-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 E US HIGHWAY 36 STE 300",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237960",
            "telephone_number": "317-718-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMES",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-26",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71006562A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.richardsfnp.p2@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8607 E US Highway 36 Ste 300",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461237960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RICHARDS",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.