Individual provider Active NPI

Melanie Ann Caustrita, ACNP-BC

  • Nurse Practitioner
  • Bryan, OH
National Provider Identifier
1316219397
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.13124 Issued in OH
Practice address
433 W High St
Bryan, OH 43506-1690
Phone
(419) 630-2028
Fax
(419) 630-2029
NPI assigned
Feb 6, 2012
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 18736 SC
Nurse Practitioner 363L00000X APRN.CNP.13124 OH Primary

Addresses

Primary practice location

433 W High St
Bryan, OH 43506-1690

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Electronic endpoints 4

TypeEndpointUseAffiliation
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/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paulding County Hospital Physician ServicesGroup PAC ID 8820983893, 17 clinicians
Midwest Community Health Associates, Inc.Group PAC ID 0941114250, 100 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.13124OHMDNurse Practitioner
18736SCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Nurse Practitioner CurrentSince Nov 6, 2023 Accepting new patients
Midwest Community Health Associates, Inc. CurrentSince Feb 7, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 31, 2023 Accepting new patients
Lexington Health Inc Current Accepting new patients
Paulding County Hospital Physician Services CurrentSince May 2, 2025 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients
Midwest Community Health Associates, Inc. CurrentSince Feb 7, 2025 Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients
South Dayton Acute Care Consultants, Inc Nurse Practitioner PastSince Jun 2, 2014 Accepting new patients
Lexington Medical Center Past Accepting new patients
Lexington County Health Services District, Inc. 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

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

442 W High St
Bryan, OH 43506
Phone (260) 266-8210

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

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

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

  • Direct secure messaging: mcaustrita671375@direct.parkviewexchange.com
  • Direct secure messaging: mcaustrita78239@direct.bsmhealth.org
  • Direct secure messaging: mcaustrita95885@direct.lexmed.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1316219397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 PARKVIEW PLAZA DR # 117",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 W HIGH ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061690",
            "telephone_number": "419-630-2028",
            "fax_number": "419-630-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUSTRITA",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "18736",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.13124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcaustrita95885@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "146 E Hospital Dr Ste 400",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "433 W High St",
            "city": "Bryan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435061690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcaustrita671375@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "433 W High St",
            "city": "Bryan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435061690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "433 W High St",
            "city": "Bryan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435061690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bryan, OH

Sources for this page

Verify at the official NPI Registry.