Active NPI
Melissa Ann Ray, FNP
- Family Nurse Practitioner
- Mitchell, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71007660A
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Indiana Community Health Care, Inc | Current | 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
- 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.
-
dba Comprehensive Health Care
- Family Medicine Physician
- Paoli, IN
- NPI 1427171057
-
- Federally Qualified Health Center (FQHC)
- Orleans, IN
- NPI 1356911390
-
dba Patoka Family Health Care
- Family Medicine Physician
- English, IN
- NPI 1457474009
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba IU Health Bedford Hospital
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
-
dba IU Health Bedford
- Ambulance
- Bedford, IN
- NPI 1346218799
Hospital
-
dba IU Health Paoli
- Critical Access Hospital
- Paoli, IN
- NPI 1912984451
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.