Individual provider Active NPI

Melissa Simmons

  • Psychiatric/Mental Health Nurse Practitioner
  • New Albany, IN
National Provider Identifier
1467100875
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71012510A Issued in IN
Practice address
3211 Grant Line Rd Ste 15
New Albany, IN 47150-2175
Phone
(812) 221-1186
Fax
(949) 882-0452
NPI assigned
Mar 15, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 71012510A IN Primary
Registered Nurse 163W00000X 28173339C IN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3018959 KY

Addresses

Primary practice location

3211 Grant Line Rd Ste 15
New Albany, IN 47150-2175

Mailing address

3211 Grant Line Rd Ste 15
New Albany, IN 47150-2175
Phone (812) 221-1186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220519000816 IN Practitioner - Nurse Practitioner 9234516857 Reassigns benefits to 2 organizations
I20230814002687 KY Practitioner - Nurse Practitioner 9234516857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Momentum Behavioral Health Group LLCGroup PAC ID 4284118928, 3 clinicians

Practice addresses (Care Compare)

3211 Grant Line Rd
Suite 15
New Albany, IN 47150-2175
Phone (812) 221-1186

401 E Chestnut St
Suite 610
Louisville, KY 40202-5711
Phone (502) 813-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28173339CINMDRegistered Nurse
71012510AINMDPsychiatric/Mental Health Nurse Practitioner
3018959KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. Psychiatric/Mental Health CurrentSince Aug 1, 2023 Accepting new patients
Momentum Behavioral Health Group LLC Psychiatric/Mental Health CurrentSince Feb 9, 2026 Accepting new patients
University of Louisville Physicians, Inc. Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
University of Louisville Physicians, Inc. Single Specialty Current Accepting new patients
Lifeline Medical Center Single Specialty CurrentSince Nov 24, 2025 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

3310 W Fox Ridge Ln
Ste A
Muncie, IN 47304

2855 Charlestown Rd
Ste 300
New Albany, IN 47150

3211 Grant Line Rd
Ste 15
New Albany, IN 47150
Phone (502) 417-9830

2855 Charlestown Rd
Ste 109
New Albany, IN 47150

401 E Chestnut St
Unit 610
Louisville, KY 40202
Phone (502) 588-4450

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20067/brand/1/csg/1/fhir/r4
  • Direct secure messaging: msimmons37307@uoflhealth-dm.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1467100875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 GRANT LINE RD STE 15",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502175",
            "telephone_number": "812-221-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 GRANT LINE RD STE 15",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502175",
            "telephone_number": "812-221-1186",
            "fax_number": "949-882-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71012510A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28173339C",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3018959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.