Active NPI
Melissa Breitweiser
- Family Nurse Practitioner
- Tell City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71010593A
- Practice address
- 109 US Highway 66 E
Tell City, IN 47586-2799 - Phone
- (812) 547-3447
- Fax
- (812) 547-9543
- NPI assigned
- Nov 24, 2020
- Last updated
- Dec 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71010593A | IN | Primary |
Addresses
Primary practice location
109 US Highway 66 E
Tell City, IN 47586-2799
Mailing address
8885 State Road 237
Tell City, IN 47586-8567
Phone (812) 547-7011
Other practice location 1
2418 16th St
Bedford, IN 47421-3049
Phone (812) 508-8683
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tell City Clinic
Practice addresses (Care Compare)
109 E Hwy 66
Tell City, IN 47586-2755
109 US Hwy 66 E
Tell City, IN 47586-2755
721 W 13TH St
Jasper, IN 47546-1855
Phone (812) 996-5671
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010593A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FC Indiana, LLC | Current | Accepting new patients | |
| Deaconess Specialty Physicians, Inc | Current | Accepting new patients | |
| Perry County Memorial Hospital | Family | Current | Accepting new patients |
| Perry County Memorial Hospital | Current | Accepting new patients | |
| Deaconess Specialty Physicians Inc | Current | Accepting new patients | |
| FC Indiana, LLC | Current | Accepting new patients | |
| Perry County Memorial Hospital | Family | Past | Accepting new patients |
| Deaconess Specialty Physicians, Inc | Past | Accepting new patients | |
| Perry County Memorial Hospital | Family | Past | Accepting new patients |
| FC TN, PLLC | Family | Past | Accepting new patients |
Locations
2418 16th St
Bedford, IN 47421
Phone (812) 278-3154
600 Mary St
Evansville, IN 47710
Phone (812) 450-2239
721 W 13th St
Jasper, IN 47546
Phone (812) 482-4494
18485 State Road 37
Leopold, IN 47551
Phone (812) 547-3447
315 S Memorial Dr
New Castle, IN 47362
Phone (765) 518-8100
105 S 2nd St
Rockport, IN 47635
Phone (812) 547-9661
109 US Highway 66 E
Tell City, IN 47586
Phone (812) 547-3447
148 13th St
Tell City, IN 47586
Phone (812) 547-0333
8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/775a5afe-736f-4ab9-8474-145e99d69207/
Organizations & group practices 10
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.
-
dba PCMH Provider Clinics
- General Practice Physician
- Tell City, IN
- NPI 1629621396
Family
-
- Cardiovascular Disease Physician
- Evansville, IN
- NPI 1306344817
-
- Family Medicine Physician
- Huntingburg, IN
- NPI 1831980945
-
dba Deaconess Specialty Physicians - Oncology Chancellor
- Hematology & Oncology Physician
- Newburgh, IN
- NPI 1477228534
-
- Rural Health Clinic/Center
- Bedford, IN
- NPI 1841911591
-
dba Main Street Clinic
- Nurse Practitioner
- Tell City, IN
- NPI 1740151489
-
dba Tell City Clinic
- Rural Health Clinic/Center
- Tell City, IN
- NPI 1023009339
Family
-
dba PCMH Wound Care Center
- Critical Access Hospital
- Tell City, IN
- NPI 1447206248
Family
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Memorial Hospital & Health Care Center
- General Acute Care Hospital
- Jasper, IN
- NPI 1003895947
-
- Critical Access Hospital
- Tell City, IN
- NPI 1699779017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672185600000",
"number": "1114521895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8885 STATE ROAD 237",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475868567",
"telephone_number": "812-547-7011",
"fax_number": "812-547-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 US HIGHWAY 66 E",
"city": "TELL CITY",
"state": "IN",
"postal_code": "475862799",
"telephone_number": "812-547-3447",
"fax_number": "812-547-9543"
}
],
"practiceLocations": [
{
"address_1": "2418 16th St",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "IN",
"postal_code": "474213049",
"country_code": "US",
"telephone_number": "812-508-8683",
"fax_number": "812-508-8683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREITWEISER",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2022-12-28",
"certification_date": "2022-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71010593A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tell City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.