Individual provider Active NPI

Melissa Anne Daniels, NP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1487090312
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008803A Issued in IN
Practice address
2001 W 86TH St
Indianapolis, IN 46260-1991
Phone
(317) 338-4372
Fax
(317) 338-4369
NPI assigned
May 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 219102 NC
Family Nurse Practitioner 363LF0000X 71008803A IN Primary

Addresses

Primary practice location

2001 W 86TH St
Indianapolis, IN 46260-1991

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

1718 E 4th St
Suite 501
Charlotte, NC 28204-3261
Phone (704) 384-7292

Other practice location 2

7979 N Shadeland Ave Ste 300
Indianapolis, IN 46250
Phone (317) 621-4418

Other practice location 3

7979 N Shadeland Ave Ste 300
Indianapolis, IN 46250
Phone (317) 621-4418

Other identifiers 3

IdentifierTypeStateIssuer
300023497MedicaidIN
NP3415MedicaidSC
1487090312MedicaidNC

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
I20190305001017 IN Practitioner - Nurse Practitioner 7214152842 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (317) 338-2345

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008803AINMDFamily Nurse Practitioner
219102NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Feb 25, 2019 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Nov 20, 2025 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Nov 20, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Feb 25, 2019 Accepting new patients
Saint Vincent Physician Services, Inc. Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

7979 N Shadeland Ave
Ste 300
Indianapolis, IN 46250
Phone (317) 621-4418

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1368921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1487090312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W 86TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601991",
            "telephone_number": "317-338-4372",
            "fax_number": "317-338-4369"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1718 E 4th St",
            "address_2": "Suite 501",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043261",
            "country_code": "US",
            "telephone_number": "704-384-7292",
            "fax_number": "704-384-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7979 N Shadeland Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46250",
            "country_code": "US",
            "telephone_number": "317-621-4418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7979 N Shadeland Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46250",
            "country_code": "US",
            "telephone_number": "317-621-4418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-19",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "219102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008803A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300023497",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP3415",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487090312",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.