Individual provider Active NPI

Melissa Gail Eisenhauer, CRNA

  • Certified Registered Nurse Anesthetist
  • Evansville, IN
National Provider Identifier
1275504706
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3004125 Issued in KY
Practice address
1800 Lincoln Ave
Evansville, IN 47722-1553
Phone
(812) 488-5650
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3004125 KY Primary
Certified Registered Nurse Anesthetist 367500000X 28172239A IN

Addresses

Primary practice location

1800 Lincoln Ave
Evansville, IN 47722-1553

Mailing address

10400 Devon CT
Newburgh, IN 47630-8888
Phone (270) 977-0315

Other identifiers 2

IdentifierTypeStateIssuer
000000309913OtherKYANTHEM BCBS PIN
74007428MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070517000290 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113828005 Reassigns benefits to 5 organizations
I20260420001121 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113828005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10400 Devon CT
Newburgh, IN 47630-8888

303 NW 11TH St
Fairfield, IL 62837-1203

Merit-based Incentive Payment System (MIPS)

Final score
86.66 of 100Reported as group
Quality
84.43
Promoting interoperability
100
Improvement activities
40
Cost
71.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Care Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2022 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2022 Accepting new patients
Eye Care Surgery Center of Evansville, LLC CurrentSince Mar 25, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince Jan 1, 2024 Accepting new patients
Gibson General Hospital, Inc CurrentSince Jun 1, 2024 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Todd Oller Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Digestive Care of Evansville PC Past Accepting new patients

Locations

6540 Logan Dr
#3
Evansville, IN 47715
Phone (812) 402-9620

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

1001 Walnut St
Evansville, IN 47713
Phone (812) 421-2020

4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861

6540 Logan Dr
Ste 3
Evansville, IN 47715
Phone (812) 402-3937

801 Saint Marys Dr
Ste 205
Evansville, IN 47714
Phone (812) 477-6103

647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103

3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

3800 Venetian Way
Ste 100
Newburgh, IN 47630
Phone (812) 266-2903

1808 Sherman Dr
Ste 2209
Princeton, IN 47670
Phone (812) 385-9420

53830 Generations Dr
South Bend, IN 46635
Phone (574) 217-0174

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

Organizations & group practices 10

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1275504706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 DEVON CT",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308888",
            "telephone_number": "270-977-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477221553",
            "telephone_number": "812-488-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHAUER",
        "first_name": "MELISSA",
        "middle_name": "GAIL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3004125",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28172239A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS PIN",
            "identifier": "000000309913",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74007428",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.