Melissa L Reintjes, NP-C
Individual provider Active NPI Nurse Practitioner · Odon, IN
NPI 1265769319 · NPPES record last updated Apr 27, 2021
Key facts
- NPI
- 1265769319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71003100A (IN)
- Practice address
- 202 N West St
Odon, IN 47562-1032 - Phone
- (812) 636-7300
- Fax
- (812) 636-8204
- NPI assigned
- Nov 11, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091125000283 | IN | Practitioner - Nurse Practitioner | 3779622139 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28105336A | IN | MD | Nurse Practitioner |
| 71003100A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daviess County Hospital | Current | Accepting new patients | |
| Daviess County Hospital | Current |
Accepting new patients | |
| Sullivan County Community Hospital | Current |
Accepting new patients | |
| Daviess County Hospital | Current |
Accepting new patients | |
| Sullivan County Community Hospital | Current |
Accepting new patients | |
| Sullivan County Community Hospital | Current |
Accepting new patients |
Locations
8685 S Old 41
Carlisle, IN 47838
Phone (812) 398-5200
202 N West St
Odon, IN 47562
Phone (812) 636-7300
2229 Mary Sherman Dr
Sullivan, IN 47882
Phone (812) 238-2100
2200 N Section St
Sullivan, IN 47882
Phone (812) 268-6292
2200 N Section St
#A
Sullivan, IN 47882
Phone (812) 268-3318
2200 N Section St
Ste A
Sullivan, IN 47882
Phone (812) 268-6292
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
Interoperability endpoints
- melissa.reintjes.1@8793.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28105336A | IN | |
| Nurse Practitioner | 363L00000X | 71003100A | IN | Yes |
Addresses
Primary practice location
202 N West St
Odon, IN 47562-1032
Mailing address
PO Box 760
Washington, IN 47501-0760
Phone (812) 254-2760
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00834945 | Other | IN | RAILROAD MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melissa.reintjes.1@8793.direct.athenahealth.com | Direct |
Other providers in Odon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.