Active NPI
Melissa Anne Cousins, FNP
- Family Nurse Practitioner
- Anderson, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71002237A
- Practice address
- 2009 Brown St
Anderson, IN 46016-4216 - Phone
- (317) 574-1254
- Fax
- (317) 674-0060
- NPI assigned
- Oct 27, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5004311 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5004311 | NC | |
| Family Nurse Practitioner | 363LF0000X | 71002237A | IN | Primary |
Addresses
Primary practice location
2009 Brown St
Anderson, IN 46016-4216
Mailing address
6807 Rustic Wood CT
Pleasant Garden, NC 27313-9567
Phone (317) 574-1254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
540 Lincoln Park Blvd
Suite 200
Kettering, OH 45429-6403
Phone (937) 293-1117
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71002237A | IN | MD | Family Nurse Practitioner |
| 5004311 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current | Accepting new patients | |
| Alliance Physicians Inc | Current | Accepting new patients | |
| Ameri-Care Family Practice | Past | Accepting new patients | |
| Randolph Specialty Group Practice | Past | Accepting new patients |
Locations
540 Lincoln Park Blvd
Ste 200
Kettering, OH 45429
Phone (937) 293-1117
1625 S Alex Rd
West Carrollton, OH 45449
Phone (937) 865-0534
Organizations & group practices 5
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
- Kettering, OH
- NPI 1437125572
-
- Federally Qualified Health Center (FQHC)
- Anderson, IN
- NPI 1780068288
-
- Urgent Care Clinic/Center
- Xenia, OH
- NPI 1952714420
-
- Family Medicine Physician
- High Point, NC
- NPI 1548582885
-
- Internal Medicine Physician
- Asheboro, NC
- NPI 1740459536
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1396821724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6807 RUSTIC WOOD CT",
"city": "PLEASANT GARDEN",
"state": "NC",
"postal_code": "273139567",
"telephone_number": "317-574-1254",
"fax_number": "828-808-2793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 BROWN ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164216",
"telephone_number": "317-574-1254",
"fax_number": "317-674-0060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUSINS",
"first_name": "MELISSA",
"middle_name": "ANNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2025-07-02",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5004311",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5004311",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71002237A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.