Individual provider Active NPI

Melissa Ann Ray, FNP

  • Family Nurse Practitioner
  • Mitchell, IN
National Provider Identifier
1508370867
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007660A Issued in IN
Practice address
2759 State Road 37
Mitchell, IN 47446-6016
Phone
(812) 992-5440
Fax
(812) 992-5441
NPI assigned
Nov 24, 2017
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 71007660A IN Primary

Addresses

Primary practice location

2759 State Road 37
Mitchell, IN 47446-6016

Mailing address

420 W Longest St
Paoli, IN 47454-8821
Phone (812) 723-7118

Other practice location 1

5604 E White Oak Ln
Marengo, IN 47140-8413
Phone (812) 723-7118

Other practice location 2

8163 W State Road 56 Ste A
West Baden Springs, IN 47469-7706
Phone (812) 723-7118

Other practice location 3

420 W Longest St
Paoli, IN 47454-8821
Phone (812) 723-7118

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
I20180319000613 IN Practitioner - Nurse Practitioner 1052673712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 W Longest St
Paoli, IN 47454-8821
Phone (812) 723-3944

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana Community Health Care, Inc CurrentSince Feb 11, 2018 Accepting new patients
Southern Indiana Community Health Care, Inc Past Accepting new patients
Southern Indiana Community Health Care, Inc Past Accepting new patients

Locations

629 Lincoln Ave
Bedford, IN 47421
Phone (812) 277-1702

307 S Indiana Ave
English, IN 47118
Phone (812) 338-2924

5604 E White Oak Ln
Marengo, IN 47140
Phone (812) 365-3221

2759 State Road 37
Mitchell, IN 47446
Phone (812) 849-6420

420 W Longest St
Paoli, IN 47454
Phone (812) 723-3944

1201 N Jim Day Rd
Salem, IN 47167
Phone (812) 723-3944

Interoperability endpoints

  • Direct secure messaging: melissaray@sichc.allscriptsdirect.net

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.

Hospital & facility affiliations 3

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": "1511481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1508370867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W LONGEST ST",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474548821",
            "telephone_number": "812-723-7118",
            "fax_number": "812-723-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 STATE ROAD 37",
            "city": "MITCHELL",
            "state": "IN",
            "postal_code": "474466016",
            "telephone_number": "812-992-5440",
            "fax_number": "812-992-5441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5604 E White Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Marengo",
            "state": "IN",
            "postal_code": "471408413",
            "country_code": "US",
            "telephone_number": "812-723-7118",
            "fax_number": "812-723-7118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8163 W State Road 56 Ste A",
            "address_purpose": "LOCATION",
            "city": "West Baden Springs",
            "state": "IN",
            "postal_code": "474697706",
            "country_code": "US",
            "telephone_number": "812-723-7118",
            "fax_number": "812-723-7110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 W Longest St",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "IN",
            "postal_code": "474548821",
            "country_code": "US",
            "telephone_number": "812-723-7118",
            "fax_number": "812-723-7110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007660A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, IN

Sources for this page

Verify at the official NPI Registry.