Individual provider Active NPI

Melanie Gail Nichols, FNP-C

  • Family Nurse Practitioner
  • Columbus, IN
National Provider Identifier
1548804552
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009708A Issued in IN
Practice address
3060 National Road
Columbus, IN 47201-2200
Phone
(812) 314-7955
NPI assigned
Nov 1, 2019
Last updated
Jan 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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 71009708A IN Primary

Addresses

Primary practice location

3060 National Road
Columbus, IN 47201-2200

Mailing address

2620 Elm Hill Pike
Nashville, TN 37214-3108

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
I20200107001887 IN Practitioner - Nurse Practitioner 3870927411 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71009708AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Indiana ENT, LLC CurrentSince May 1, 2024 Accepting new patients
Little Clinic of in LLC Family CurrentSince Dec 19, 2019 Accepting new patients

Locations

1175 S College Mall Rd
Bloomington, IN 47401
Phone (812) 323-4301

1655 N Gladstone Ave
Ste E
Columbus, IN 47201
Phone (812) 376-3071

3060 N National Rd
Columbus, IN 47201
Phone (812) 314-7955

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12832/brand/1/csg/1/fhir/r4
  • Direct secure messaging: melanie.nichols.1@12832.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1548804552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 NATIONAL ROAD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012200",
            "telephone_number": "812-314-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "MELANIE",
        "middle_name": "GAIL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009708A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.