Individual provider Active NPI

Melissa Breitweiser

  • Family Nurse Practitioner
  • Tell City, IN
National Provider Identifier
1114521895
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010593A Issued in IN
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201130001844 IN Practitioner - Nurse Practitioner 7315358181 Reassigns benefits to 3 organizations

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 ClinicGroup PAC ID 0648275255, 12 clinicians
Perry County Memorial HospitalGroup PAC ID 6901871276, 28 clinicians

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

LicenseStateTypeSpecialty
71010593AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC CurrentSince Nov 18, 2020 Accepting new patients
Deaconess Specialty Physicians, Inc CurrentSince Dec 29, 2025 Accepting new patients
Perry County Memorial Hospital Family CurrentSince Oct 1, 2021 Accepting new patients
Perry County Memorial Hospital CurrentSince Oct 1, 2021 Accepting new patients
Deaconess Specialty Physicians Inc CurrentSince Dec 29, 2025 Accepting new patients
FC Indiana, LLC CurrentSince Nov 18, 2020 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 PastSince Mar 21, 2021 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

  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.