Melanie Ann Caustrita, ACNP-BC
Individual provider Active NPI Nurse Practitioner · Bryan, OH
NPI 1316219397 · NPPES record last updated May 2, 2025
Key facts
- NPI
- 1316219397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN.CNP.13124 (OH)
- Practice address
- 433 W High St
Bryan, OH 43506-1690 - Phone
- (419) 630-2028
- Fax
- (419) 630-2029
- NPI assigned
- Feb 6, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paulding County Hospital Physician Services
Midwest Community Health Associates, Inc.
Practice addresses (Care Compare)
1035 W Wayne St
Paulding, OH 45879-1544
Phone (419) 399-4080
433 W High St
Bryan, OH 43506-1690
Phone (419) 630-2028
Hospital & facility affiliations
- Community Hospitals and Wellness Centers
- Paulding County Hospital
- Community Hospitals and Wellness Centers
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.09 of 100
- Quality
- 68.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in OH, SC, FL
- 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 |
|---|---|---|---|---|
| I20120521000581 | OH | Practitioner - Nurse Practitioner | 0840453379 | Reassigns benefits to 4 organizations |
| I20161025001952 | SC | Practitioner - Nurse Practitioner | 0840453379 | Reassigns benefits to 1 organization |
| I20230918003901 | FL | Practitioner - Nurse Practitioner | 0840453379 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18736 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Community Health Associates, Inc. | Current |
Accepting new patients | |
| Midwest Community Health Associates, Inc. | Current |
Accepting new patients | |
| Lexington Health Inc | Current |
Accepting new patients | |
| Mercy Health Physicians Lima Specialty Care LLC | Nurse Practitioner | Current |
Accepting new patients |
| Paulding County Hospital Physician Services | Current |
Accepting new patients | |
| Lexington Health Inc | Current | Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Lexington Health Inc | Current |
Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients | |
| Lexington County Health Services District, Inc. | Past | Accepting new patients | |
| South Dayton Acute Care Consultants, Inc | Nurse Practitioner | Past |
Accepting new patients |
| Lexington Medical Center | Past | Accepting new patients |
Locations
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
442 W High St
Bryan, OH 43506
Phone (260) 266-8210
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902
830 W High St
Ste 360
Lima, OH 45801
Phone (419) 227-7117
830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960
730 W Market St
Lima, OH 45801
Phone (419) 226-4310
967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330
1032 W Wayne St
Paulding, OH 45879
Phone (419) 399-1104
1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080
811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230
146 E Hospital Dr
Ste 400
West Columbia, SC 29169
Phone (803) 936-3300
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- mcaustrita671375@direct.parkviewexchange.com
- mcaustrita78239@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 18736 | SC | |
| Nurse Practitioner | 363L00000X | APRN.CNP.13124 | OH | Yes |
Addresses
Primary practice location
433 W High St
Bryan, OH 43506-1690
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065971 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcaustrita95885@direct.lexmed.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | mcaustrita671375@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ |
Other providers in Bryan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.