Individual provider Active NPI

Melissa E Holderread, CNM

  • Advanced Practice Midwife
  • South Bend, IN
National Provider Identifier
1477977767
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
09000237A Issued in IN
Practice address
621 Memorial Dr
Ste 403
South Bend, IN 46601
Phone
(574) 647-1405
Fax
(574) 647-3970
NPI assigned
Feb 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 09000237A IN Primary

Addresses

Primary practice location

621 Memorial Dr
Ste 403
South Bend, IN 46601

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (574) 647-3725

Other practice location 1

6913 N Main St
Ste 300
Granger, IN 46530-8039
Phone (574) 647-1500

Other practice location 2

202 Lincolnway E Ste 201
Mishawaka, IN 46544-2079
Phone (574) 584-2812

Other identifiers 1

IdentifierTypeStateIssuer
300021517MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meholderread@mybeacon.cernerdirect.com

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190114002321 IN Practitioner - Certified Nurse Midwife (CNM) 2668604943 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
09000237AINMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Medical Group, Inc. Current Accepting new patients
Healthlinc, Inc. CurrentSince May 2, 2020 Accepting new patients
Beacon Medical Group, Inc. Advanced Practice Midwife CurrentSince Jan 1, 2019 Accepting new patients
Beacon Medical Group Inc CurrentSince Jan 1, 2019 Accepting new patients
Healthlinc, Inc CurrentSince May 2, 2020 Accepting new patients
Healthlinc, Inc. Current Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

6913 N Main St
Ste 300
Granger, IN 46530
Phone (574) 647-1500

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

104 E Culver Rd
Ste 106
Knox, IN 46534
Phone (574) 772-7400

710 Franklin St
Ste 200
Michigan City, IN 46360
Phone (219) 872-6200

420 W 4th St
Mishawaka, IN 46544
Phone (574) 252-0300

202 Lincolnway E
Ste 201
Mishawaka, IN 46544
Phone (574) 584-2812

621 Memorial Dr
Ste 403
South Bend, IN 46601
Phone (574) 232-4800

621 Memorial Dr
South Bend, IN 46601
Phone (574) 236-1888

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

100 Navarre Pl
Ste 4470
South Bend, IN 46601
Phone (574) 647-1300

701 Wall St
Valparaiso, IN 46383
Phone (219) 299-8419

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

Interoperability endpoints

  • Direct secure messaging: melissaholderread@beacon.allscriptsdirect.net

Organizations & group practices 7

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1477977767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "574-647-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MEMORIAL DR",
            "address_2": "STE 403",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46601",
            "telephone_number": "574-647-1405",
            "fax_number": "574-647-3970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6913 N Main St",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Granger",
            "state": "IN",
            "postal_code": "465308039",
            "country_code": "US",
            "telephone_number": "574-647-1500",
            "fax_number": "574-647-2567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Lincolnway E Ste 201",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465442079",
            "country_code": "US",
            "telephone_number": "574-584-2812",
            "fax_number": "574-584-2813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDERREAD",
        "first_name": "MELISSA",
        "middle_name": "E",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000237A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300021517",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meholderread@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "621 Memorial Dr Ste 403",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.