Individual provider Active NPI

Melinda Marie Cornelius, NP-C

  • Nurse Practitioner
  • Terre Haute, IN
National Provider Identifier
1184345829
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71013036A Issued in IN
Practice address
2800 Poplar St Ste 21a
Terre Haute, IN 47803-2680
Phone
(812) 956-0087
NPI assigned
Sep 12, 2022
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 71013036A IN Primary

Addresses

Primary practice location

2800 Poplar St Ste 21a
Terre Haute, IN 47803-2680

Mailing address

2800 Poplar St Ste 21a
Terre Haute, IN 47803-2680
Phone (812) 564-2053

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Mindy@bodybarmd.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240410000314 IL Practitioner - Nurse Practitioner 5698113652 Reassigns benefits to 2 organizations
I20240806001066 IN Practitioner - Nurse Practitioner 5698113652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FC Indiana, LLC Nurse Practitioner CurrentSince Jun 21, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 10, 2024 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Sep 9, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince May 10, 2024 Accepting new patients
FC Indiana, LLC CurrentSince Jun 21, 2024 Accepting new patients

Locations

721 E Court St
Paris, IL 61944
Phone (217) 465-4141

727 E Court St
Paris, IL 61944
Phone (217) 465-4141

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

Interoperability endpoints

  • Direct secure messaging: melinda.cornelius.1@11356.direct.athenahealth.com
  • Direct secure messaging: mindy@bodybarmd.com

Organizations & group practices 6

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 1

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1184345829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 POPLAR ST STE 21A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032680",
            "telephone_number": "812-564-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 POPLAR ST STE 21A",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032680",
            "telephone_number": "812-956-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "MELINDA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71013036A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mindy@bodybarmd.com",
            "affiliation": "N",
            "endpointDescription": "Provider  work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business Email",
            "address_1": "2800 Poplar St Ste 21A",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478032680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.