Individual provider Active NPI

Melissa Coleman, FNP

  • Family Nurse Practitioner
  • Kokomo, IN
National Provider Identifier
1215797345
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015283A Issued in IN
Practice address
3728 S Reed Rd
Kokomo, IN 46902-3829
Phone
(765) 626-7110
NPI assigned
Mar 19, 2024
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 71015283A IN Primary

Addresses

Primary practice location

3728 S Reed Rd
Kokomo, IN 46902-3829

Mailing address

1244 W Blair Pike Rd
Peru, IN 46970-8031

Other practice location 1

1244 W Blair Pike Rd
Peru, IN 46970-8031
Phone (765) 513-5251

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
I20240703001803 IN Practitioner - Nurse Practitioner 5496299240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleanslate Medical Group of Indiana LLCGroup PAC ID 4880963909, 60 clinicians

Practice addresses (Care Compare)

3728 S Reed Rd
Kokomo, IN 46902-3829
Phone (765) 626-7110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71015283AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Indiana LLC CurrentSince Feb 1, 2025 Accepting new patients
Lafayette Pain Care, P.C. CurrentSince Oct 28, 2024 Accepting new patients
Lafayette Pain Care PC CurrentSince Oct 28, 2024 Accepting new patients
Chestnut Health of Indiana PC CurrentSince Jun 13, 2024 Accepting new patients
Cleanslate Medical Group of Pennsylvania LLC Past Accepting new patients

Locations

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

101 N Harrison St
Alexandria, IN 46001
Phone (765) 233-0903

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

4925 S Scatterfield Rd
#G
Anderson, IN 46013
Phone (765) 442-0402

203 W 1st St
Bloomington, IN 47403
Phone (812) 339-1675

1004 Parkway Ave
Ste E
Elkhart, IN 46516
Phone (574) 218-7131

4411 Washington Ave
Ste 105
Evansville, IN 47714
Phone (812) 213-0304

3005 E State Blvd
Fort Wayne, IN 46805
Phone (260) 267-9498

833 Indianapolis Rd
Ste E
Greencastle, IN 46135
Phone (765) 301-3680

65 Airport Pkwy
Ste 114
Greenwood, IN 46143
Phone (317) 807-0268

1725 N Meridian St
Indianapolis, IN 46202
Phone (317) 396-1676

9660 E Washington St
#300
Indianapolis, IN 46229
Phone (317) 860-5600

107 S Washington St
Ste C
Kokomo, IN 46901
Phone (317) 798-0040

3518 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0358

3728 S Reed Rd
Kokomo, IN 46902
Phone (765) 626-7110

30 Professional Ct
Ste 2
Lafayette, IN 47905
Phone (765) 838-1218

770 Park East Blvd
Ste B
Lafayette, IN 47905
Phone (765) 366-4344

707 N River Dr
Marion, IN 46952
Phone (765) 573-5999

8601 Connecticut St
Merrillville, IN 46410
Phone (219) 525-3495

124 E Main St
Muncie, IN 47305
Phone (765) 587-7311

18051 River Rd
Ste 101
Noblesville, IN 46062
Phone (317) 674-0062

2455 E Main St
#194
Plainfield, IN 46168
Phone (317) 268-7198

2302 Chester Blvd
Ste A
Richmond, IN 47374
Phone (765) 488-0345

2936 Frontage Rd
Warsaw, IN 46580
Phone (574) 306-2145

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, 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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1215797345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 W BLAIR PIKE RD",
            "city": "PERU",
            "state": "IN",
            "postal_code": "469708031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 S REED RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023829",
            "telephone_number": "765-626-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1244 W Blair Pike Rd",
            "address_purpose": "LOCATION",
            "city": "Peru",
            "state": "IN",
            "postal_code": "469708031",
            "country_code": "US",
            "telephone_number": "765-513-5251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015283A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.