Melissa Ann Ray, FNP
Individual provider Active NPI Family Nurse Practitioner · Mitchell, IN
NPI 1508370867 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1508370867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71007660A (IN)
- Practice address
- 2759 State Road 37
Mitchell, IN 47446-6016 - Phone
- (812) 992-5440
- Fax
- (812) 992-5441
- NPI assigned
- Nov 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Indiana Community Health Care Inc
Practice addresses (Care Compare)
420 W Longest St
Paoli, IN 47454-8821
Phone (812) 723-3944
Hospital & facility affiliations
- Indiana University Health Paoli Hospital
- Indiana University Health Bedford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180319000613 | IN | Practitioner - Nurse Practitioner | 1052673712 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71007660A | IN | Yes |
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
8163 W State Road 56 Ste A
West Baden Springs, IN 47469-7706
Phone (812) 723-7118
Other practice location 2
5604 E White Oak Ln
Marengo, IN 47140-8413
Phone (812) 723-7118
Other practice location 3
420 W Longest St
Paoli, IN 47454-8821
Phone (812) 723-7118
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300009056 | Medicaid | IN |
Other providers in Mitchell, IN
- Cassandra Moore
- Ashley Mudd
- Kristi Jo Nissley
- Odulio Clinic Inc
- Amanda Osborne
- Lydia Scales
- Rex S Schlegel
- Tammy Scoggan
- Gracie Simmerman
- David B Sledge
All providers in Mitchell, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.