Individual provider Active NPI

Melanie McCarty, APRN

  • Family Nurse Practitioner
  • Owensboro, KY
National Provider Identifier
1225519432
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3012778 Issued in KY
Practice address
750 Salem Dr Ste 2
Owensboro, KY 42303-7758
Phone
(270) 686-6040
Fax
(270) 686-6050
NPI assigned
Aug 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 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 3012778 KY Primary

Addresses

Primary practice location

750 Salem Dr Ste 2
Owensboro, KY 42303-7758

Mailing address

750 Salem Dr Ste 2
Owensboro, KY 42303-7758
Phone (270) 686-6040

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
I20190328000608 IN Practitioner - Nurse Practitioner 6406196500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evansville Cancer Care, PC CurrentSince Mar 21, 2019 Accepting new patients
Evansville Multi-Specialty Clinic, PC Family CurrentSince Mar 21, 2019 Accepting new patients
Audubon Area Community Care Clinic, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Casa San Pio Clinics of Appalachia, LLC PastSince Apr 11, 2021 Accepting new patients

Locations

6140 E Columbia St
Evansville, IN 47715
Phone (812) 474-1110

750 Salem Dr
Ste 2
Owensboro, KY 42303

3740 Old Hartford Rd
Owensboro, KY 42303
Phone (270) 684-7259

819 E 9th St
Owensboro, KY 42303
Phone (270) 686-6044

Organizations & group practices 4

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": "1535155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1225519432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SALEM DR STE 2",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037758",
            "telephone_number": "270-686-6040",
            "fax_number": "270-686-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SALEM DR STE 2",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423037758",
            "telephone_number": "270-686-6040",
            "fax_number": "270-686-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "MELANIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-25",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.