Active NPI
Melissa Ann Gwin, NP
- Psychiatric/Mental Health Nurse Practitioner
- Lafayette, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 71002825A
- Practice address
- 2600 Greenbush St
Lafayette, IN 47904-2479 - Phone
- (765) 448-8000
- Fax
- (765) 838-4215
- NPI assigned
- Sep 23, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71002825A | IN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 71002825A | IN | Primary |
Addresses
Primary practice location
2600 Greenbush St
Lafayette, IN 47904-2479
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
8424 Naab Rd Ste 2A
Indianapolis, IN 46260-1966
Phone (317) 415-6300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12736891 | Other | IN | PHCS NUMBER / MULTIPLAN |
| 200937540 | Medicaid | IN | |
| 000000610495 | Other | IN | ANTHEM PROVIDER NUMBER |
Other names 1
- Melissa Ann Gutwein
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mgwin@direct.iuhealth.org | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000
Hospital & facility affiliations
- Indiana University Health Arnett Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Family | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Valley Oaks Health Inc | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Valley Oaks Health Inc | Current | Accepting new patients | |
| Athens Medical Group LLC | Past | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
2600 Greenbush St
Lafayette, IN 47904
415 N 26th St
Ste 201
Lafayette, IN 47904
Phone (765) 446-6535
415 N 26th St
Lafayette, IN 47904
Phone (765) 446-6400
610 Main St
Lafayette, IN 47901
Phone (765) 423-2638
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lafayette, IN
- NPI 1689629990
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Federally Qualified Health Center (FQHC)
- Lafayette, IN
- NPI 1134901135
-
- Family Medicine Physician
- Crawfordsville, IN
- NPI 1043444714
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1124278569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GREENBUSH ST",
"city": "LAFAYETTE",
"state": "IN",
"postal_code": "479042479",
"telephone_number": "765-448-8000",
"fax_number": "765-838-4215"
}
],
"practiceLocations": [
{
"address_1": "8424 Naab Rd Ste 2A",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601966",
"country_code": "US",
"telephone_number": "317-415-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GWIN",
"first_name": "MELISSA",
"middle_name": "ANN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002825A",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IN",
"license": "71002825A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS NUMBER / MULTIPLAN",
"identifier": "12736891",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200937540",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000610495",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgwin@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2600 Greenbush St",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479042479",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "GUTWEIN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lafayette, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.