Individual provider Active NPI

Melissa Krzus

  • Family Nurse Practitioner
  • Dyer, IN
National Provider Identifier
1205243524
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005003A Issued in IN
Practice address
1001 Calumet Ave
Dyer, IN 46311-1596
Phone
(219) 924-8178
Fax
(219) 924-8179
NPI assigned
Jul 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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 71005003A IN Primary

Addresses

Primary practice location

1001 Calumet Ave
Dyer, IN 46311-1596

Mailing address

13963 Morse St
Cedar Lake, IN 46303-9639
Phone (219) 374-5555

Other practice location 1

13963 Morse St
Cedar Lake, IN 46303-9639
Phone (219) 374-5555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa.krzus@nwoncologypc.ikm.direct-ci.com Health Information Exchange (HIE)

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
I20140908002361 IN Practitioner - Nurse Practitioner 3173742004 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Cancer Centers PCGroup PAC ID 4587553474, 26 clinicians

Practice addresses (Care Compare)

1001 Calumet Ave
Dyer, IN 46311-1596
Phone (812) 220-4476

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71005003AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Catherine Hospital Inc. CurrentSince Jan 10, 2020 Accepting new patients
Premise Health of Indiana Medical, P.C. Current Accepting new patients
St Catherine Hospital Inc CurrentSince Jan 10, 2020 Accepting new patients
Northwest Cancer Centers, PC CurrentSince Dec 16, 2019 Accepting new patients
Connecticut General Life Insurance Company Past Accepting new patients

Locations

342 E 109th Ave
Crown Point, IN 46307
Phone (219) 310-2550

10191 Broadway
#200
Crown Point, IN 46307
Phone (219) 924-8178

1001 Calumet Ave
Dyer, IN 46311
Phone (219) 924-8178

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

1600 S Lake Park Ave
Ste 1101
Hobart, IN 46342
Phone (219) 947-1795

1331 State St
Ste 270
La Porte, IN 46350
Phone (219) 236-0943

1331 State St
Ste 240
La Porte, IN 46350
Phone (219) 326-0943

5510 Franklin St
Michigan City, IN 46360
Phone (219) 809-2600

3800 Saint Mary Rd
Ste 302
Valparaiso, IN 46383
Phone (219) 464-1620

Interoperability endpoints

  • Direct secure messaging: melissa.krzus@nwoncologypc.ikm.direct-ci.com
  • Direct secure messaging: mkrzus789446@direct.franciscanalliance.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1205243524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13963 MORSE ST",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039639",
            "telephone_number": "219-374-5555",
            "fax_number": "219-374-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CALUMET AVE",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111596",
            "telephone_number": "219-924-8178",
            "fax_number": "219-924-8179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13963 Morse St",
            "address_purpose": "LOCATION",
            "city": "Cedar Lake",
            "state": "IN",
            "postal_code": "463039639",
            "country_code": "US",
            "telephone_number": "219-374-5555",
            "fax_number": "219-374-6669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRZUS",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005003A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.krzus@nwoncologypc.ikm.direct-ci.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1001 Calumet Ave",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463111596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dyer, IN

Sources for this page

Verify at the official NPI Registry.