Individual provider Active NPI

Melinda Halupa, NP

  • Nurse Practitioner
  • Plymouth, IN
National Provider Identifier
1134906340
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28221312C Issued in IN
Practice address
2855 Miller Dr Ste 205
Plymouth, IN 46563-8093
Phone
(574) 936-7777
Fax
(844) 918-2479
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28221312C IN Primary

Addresses

Primary practice location

2855 Miller Dr Ste 205
Plymouth, IN 46563-8093

Mailing address

2855 Miller Dr
Plymouth, IN 46563-8091

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
I20231004002139 IN Practitioner - Nurse Practitioner 5092160481 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28221312CINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Palliative Care LLC CurrentSince Aug 29, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1134906340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 MILLER DR",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 MILLER DR STE 205",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638093",
            "telephone_number": "574-936-7777",
            "fax_number": "844-918-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALUPA",
        "first_name": "MELINDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28221312C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, IN

Sources for this page

Verify at the official NPI Registry.