Individual provider Active NPI

Melissa Diane Oseguera

  • Family Nurse Practitioner
  • Hobart, IN
National Provider Identifier
1558945378
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011114A Issued in IN
Practice address
6195 Marcella Blvd
Hobart, IN 46342-0040
Phone
(219) 942-7100
NPI assigned
May 7, 2021
Last updated
May 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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 71011114A IN Primary

Addresses

Primary practice location

6195 Marcella Blvd
Hobart, IN 46342-0040

Mailing address

17 Deerpath Rd
Merrillville, IN 46410-4706
Phone (219) 775-1553

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
I20220726001891 IN Practitioner - Nurse Practitioner 5193125912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Smart Physician Systems PCGroup PAC ID 3678853645, 8 clinicians

Practice addresses (Care Compare)

8242 Calumet Ave
Suite 1
Munster, IN 46321-1760
Phone (219) 595-0300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71011114AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleanslate Medical Group of Indiana LLC CurrentSince Oct 1, 2023 Accepting new patients
Smart Physician Systems PC CurrentSince Jul 1, 2022 Accepting new patients

Locations

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

8601 Connecticut St
Merrillville, IN 46410
Phone (219) 525-3495

10176 W 400 N
Ste C
Michigan City, IN 46360
Phone (219) 873-1777

8242 Calumet Ave
Ste 1
Munster, IN 46321
Phone (219) 595-0300

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": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1558945378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 DEERPATH RD",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464104706",
            "telephone_number": "219-775-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6195 MARCELLA BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463420040",
            "telephone_number": "219-942-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEGUERA",
        "first_name": "MELISSA",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011114A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.