Individual provider Active NPI

Melissa Mae Willis, FNP

  • Family Nurse Practitioner
  • Martinsville, IN
National Provider Identifier
1629021357
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71000581A Issued in IN
Practice address
2209 John R Wooden Dr
Martinsville, IN 46151-1840
Phone
(765) 349-6533
NPI assigned
May 17, 2006
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 71000581A IN Primary

Addresses

Primary practice location

2209 John R Wooden Dr
Martinsville, IN 46151-1840

Mailing address

2209 John R Wooden Dr
Martinsville, IN 46151-1840

Other practice location 1

2810 S Deborah Dr
Bloomington, IN 47403-4228
Phone (765) 721-5858

Other identifiers 1

IdentifierTypeStateIssuer
200202970MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MWILLIS4@direct.iuhealth.org

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
I20060329000294 IN Practitioner - Nurse Practitioner 9830107176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2209 John R Wooden Dr
Indiana University So in Phy Inc
Martinsville, IN 46151-1840
Phone (888) 484-3258

2900 16TH St
Bedford, IN 47421-3510
Phone (888) 484-3258

3050 N Lintel Dr
Bloomington, IN 47404-8945
Phone (888) 484-3258

707 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

719 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

727 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71000581AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC Nurse Practitioner CurrentSince Jan 1, 2026 Accepting new patients
Iu Health Morgan Physicians, LLC Family CurrentSince Dec 31, 2017 Accepting new patients
Artesian Waters Emergency Physicians Past Accepting new patients

Locations

2738 Solution Ctr
Chicago, IL 60677

1302 S Rogers St
Bloomington, IN 47403
Phone (812) 333-2663

1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556

1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

Interoperability endpoints

  • Direct secure messaging: mwillis4@direct.iuhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1629021357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 JOHN R WOODEN DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 JOHN R WOODEN DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511840",
            "telephone_number": "765-349-6533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 S Deborah Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474034228",
            "country_code": "US",
            "telephone_number": "765-721-5858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "MELISSA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71000581A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200202970",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MWILLIS4@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "2209 John R Wooden Dr",
            "city": "Martinsville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461511840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsville, IN

Sources for this page

Verify at the official NPI Registry.