Individual provider Active NPI

Marie E Menchhofer, FNP

  • Family Nurse Practitioner
  • Versailles, IN
National Provider Identifier
1427817352
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28187879A Issued in IN
Practice address
202 Gaslight Dr Ste 1
Versailles, IN 47042-9471
Phone
(812) 609-2030
Fax
(949) 850-7921
NPI assigned
Mar 14, 2024
Last updated
May 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28187879A IN Primary

Addresses

Primary practice location

202 Gaslight Dr Ste 1
Versailles, IN 47042-9471

Mailing address

202 Gaslight Dr Ste 1
Versailles, IN 47042-9471
Phone (812) 609-2030

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410001251 IN Practitioner - Nurse Practitioner 9931547924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 Gaslight Dr
Suite 1
Versailles, IN 47042-9471
Phone (812) 609-2030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28187879AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
J Clayton Spine and Health LLC Family CurrentSince Jun 4, 2025 Accepting new patients
Versailles Healthcare LLC CurrentSince Jan 29, 2026 Accepting new patients
Major Hospital Past Accepting new patients

Locations

905 W Keegans Way
Ste 7
Greensburg, IN 47240
Phone (812) 519-2963

1725 E Tipton St
#200
Seymour, IN 47274
Phone (812) 519-2963

202 Gaslight Dr
Ste 1
Versailles, IN 47042
Phone (812) 609-2030

Organizations & group practices 3

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1427817352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 GASLIGHT DR STE 1",
            "city": "VERSAILLES",
            "state": "IN",
            "postal_code": "470429471",
            "telephone_number": "812-609-2030",
            "fax_number": "949-850-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GASLIGHT DR STE 1",
            "city": "VERSAILLES",
            "state": "IN",
            "postal_code": "470429471",
            "telephone_number": "812-609-2030",
            "fax_number": "949-850-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHHOFER",
        "first_name": "MARIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28187879A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Versailles, IN

Sources for this page

Verify at the official NPI Registry.