Active NPI
Melissa E King, ACNP-BC
- Acute Care Nurse Practitioner
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 71005010A
- Practice address
- 1907 W Sycamore St
Kokomo, IN 46901-5148 - Phone
- (765) 456-5433
- NPI assigned
- Jul 17, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 71005010A | IN | Primary |
Addresses
Primary practice location
1907 W Sycamore St
Kokomo, IN 46901-5148
Mailing address
250 W 96TH St # 520
Indianapolis, IN 46260-1316
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 471400530 | Other | IN | MEDICARE |
| 201251490 | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8240 Naab Rd
Suite 155
Indianapolis, IN 46260-1985
Phone (317) 338-7760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005010A | IN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Vincent Medical Group, Inc. | Current | Accepting new patients | |
| St Vincent Physician Services Hospital and Health Care Center | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| St Vincent Physician Services Hospital and Health Care Center | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| St. Vincent Medical Group, Inc. | Current | Accepting new patients |
Locations
2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243
13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136
8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702
8240 Naab Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 338-7450
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760
1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611
3500 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0702
1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
1402 E County Line Rd
Southport, IN 46227
Phone (317) 887-7000
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1669422234
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Orthopaedic Surgery Physician
- Winchester, IN
- NPI 1144513375
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Durable Medical Equipment & Medical Supplies
- Carmel, IN
- NPI 1366689044
-
- Internal Medicine Physician
- Carmel, IN
- NPI 1811881527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620432000000",
"number": "1265849632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 W 96TH ST # 520",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462601316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 W SYCAMORE ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469015148",
"telephone_number": "765-456-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MELISSA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "ACNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-17",
"last_updated": "2021-05-08",
"certification_date": "2021-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "71005010A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "471400530",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201251490",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.