Active NPI
Melissa Ann Donahue, FNP
- Nurse Practitioner
- Lafayette, IN
National Provider Identifier
1578086484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71007606A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30010545 | Medicaid | IN |
Other names 1
- Melissa Ann Hedrick
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210520002575 | IN | Order and Referring Only - Nurse Practitioner | 1951669357 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28162871A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FFR Health, Inc | Current | Accepting new patients | |
| Neo Vision PC | Current | Accepting new patients |
Locations
2200 Elmwood Ave
Ste D11
Lafayette, IN 47904
Phone (765) 446-2814
Interoperability endpoints
- ffrhealth.melissadonahue@155003.advancedmd-direct.com
- 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.
-
- Family Medicine Physician
- Lafayette, IN
- NPI 1609717784
-
- Eyewear Supplier
- Lafayette, IN
- NPI 1932176476
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.