Individual provider Active NPI

Melinda Halterman, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1184230203
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71010396A Issued in IN
Practice address
101 Plaza East Blvd Ste 303
Evansville, IN 47715-2871
Phone
(812) 491-1307
Fax
(812) 473-1035
NPI assigned
Sep 23, 2020
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71010396A IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71010396A IN Primary

Addresses

Primary practice location

101 Plaza East Blvd Ste 303
Evansville, IN 47715-2871

Mailing address

8844 Idaho Dr
Newburgh, IN 47630-9028
Phone (812) 453-5504

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
I20210923000747 IN Practitioner - Nurse Practitioner 6204256670 Practice locations: Evansville, IN

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Plaza E Blvd
Evansville, IN 47715-2871
Phone (812) 479-1511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71010396AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Austin Pmhnp LLC Psychiatric/Mental Health PastSince Sep 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mhalterman278080@direct.deaconess.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1184230203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8844 IDAHO DR",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476309028",
            "telephone_number": "812-453-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PLAZA EAST BLVD STE 303",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152871",
            "telephone_number": "812-491-1307",
            "fax_number": "812-473-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALTERMAN",
        "first_name": "MELINDA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-08-16",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010396A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71010396A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.