Individual provider Active NPI

Melissa Ann Donahue, FNP

  • Nurse Practitioner
  • Lafayette, IN
National Provider Identifier
1578086484
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71007606A Issued in IN
Practice address
2200 Elmwood Ave Ste D11
Lafayette, IN 47904-2391
Phone
(765) 756-5077
Fax
(949) 561-4250
NPI assigned
Jul 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28162871A IN
Nurse Practitioner 363L00000X 71007606A IN Primary

Addresses

Primary practice location

2200 Elmwood Ave Ste D11
Lafayette, IN 47904-2391

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other identifiers 1

IdentifierTypeStateIssuer
30010545MedicaidIN

Other names 1

  • Melissa Ann Hedrick Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa@ffrhealth.kareodirect.com

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
I20210520002575 IN Order and Referring Only - Nurse Practitioner 1951669357

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28162871AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
FFR Health, Inc Current Accepting new patients
Neo Vision PC CurrentSince Feb 27, 2022 Accepting new patients

Locations

2200 Elmwood Ave
Ste D11
Lafayette, IN 47904
Phone (765) 446-2814

Interoperability endpoints

  • Direct secure messaging: ffrhealth.melissadonahue@155003.advancedmd-direct.com
  • Direct secure messaging: melissa@ffrhealth.kareodirect.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1578086484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ELMWOOD AVE STE D11",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042391",
            "telephone_number": "765-756-5077",
            "fax_number": "949-561-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28162871A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71007606A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010545",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa@ffrhealth.kareodirect.com",
            "affiliation": "N",
            "endpointDescription": "KAreo EHR direct messaging through Updox",
            "address_1": "2200 Elmwood Ave Ste D11",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479042391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HEDRICK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.