Active NPI
Melissa J Croucher, NP
- Pediatric Nurse Practitioner
- North Vernon, IN
National Provider Identifier
1588020739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 71005984A
- Practice address
- 301 Henry St
North Vernon, IN 47265-1030 - Phone
- (812) 352-4300
- NPI assigned
- Jan 4, 2016
- Last updated
- Jan 5, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 71005984A | IN | Primary |
Addresses
Primary practice location
301 Henry St
North Vernon, IN 47265-1030
Mailing address
301 Henry St
North Vernon, IN 47265-1030
Other practice location 1
705 Riley Hospital Dr
Suite 2500
Indianapolis, IN 46202-5109
Phone (317) 274-4681
Other names 1
- Melissa J Hawley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005984A | IN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Surgical Associates Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Surgery Physician
- Indianapolis, IN
- NPI 1790880292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1588020739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 HENRY ST",
"city": "NORTH VERNON",
"state": "IN",
"postal_code": "472651030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HENRY ST",
"city": "NORTH VERNON",
"state": "IN",
"postal_code": "472651030",
"telephone_number": "812-352-4300"
}
],
"practiceLocations": [
{
"address_1": "705 Riley Hospital Dr",
"address_2": "Suite 2500",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025109",
"country_code": "US",
"telephone_number": "317-274-4681",
"fax_number": "317-274-4491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CROUCHER",
"first_name": "MELISSA",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-04",
"last_updated": "2023-01-05",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IN",
"license": "71005984A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "HAWLEY",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Vernon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.