Melissa Wise, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209020617 Issued in IL

Practice address

108 N Main St
Princeton, IN 47670-1540

Phone

(812) 753-1039

Fax

(812) 753-1122

NPI assigned

Jan 4, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tulip Tree Health Services of Gibson County, Inc.

  • Federally Qualified Health Center (FQHC)
  • Fort Branch, IN
  • NPI 1932225372

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1578096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1093354243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701540",
            "telephone_number": "812-753-1039",
            "fax_number": "812-753-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MAIN ST",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701540",
            "telephone_number": "812-753-1039",
            "fax_number": "812-753-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 N McCreary St",
            "address_purpose": "LOCATION",
            "city": "Fort Branch",
            "state": "IN",
            "postal_code": "476481313",
            "country_code": "US",
            "telephone_number": "812-753-1039",
            "fax_number": "812-753-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISE",
        "first_name": "MELISSA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-04",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71015098A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wild Vine Wellness
• Williams Bros Health Care Pharmacy Inc
• Williams Bros Health Care Pharmacy Inc
• Williams Bros. Health Care Pharmacy, Inc.
• Melanie Williams, RD
• Jon Adam Woebkenberg, PHARMD
• Linda Woods
• Laura Wyatt
• Darla Jan Young I, MSN, NPC
• Nancy Young

• Family Nurse Practitioner in Princeton, IN
• Providers in Princeton, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.