Individual provider Active NPI

Melinda Anne Cockrell, RN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bradley, IL
National Provider Identifier
1679317119
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
71017048A Issued in IN
Practice address
936 Quail Dr
Bradley, IL 60915-1338
Phone
(708) 908-0189
NPI assigned
Jun 20, 2024
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 71017048A IN Primary
Registered Nurse 163W00000X 041353584 IL

Addresses

Primary practice location

936 Quail Dr
Bradley, IL 60915-1338

Mailing address

936 Quail Dr
Bradley, IL 60915-1338
Phone (708) 908-0189

Other practice location 1

8240 Naab Rd Ste 360
Indianapolis, IN 46260-1987
Phone (832) 869-4818

Other names 1

  • Melinda Anne Ivey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260108003241 IN Practitioner - Nurse Practitioner 9436635596 Reassigns benefits to 3 organizations
I20260622003213 IL Practitioner - Nurse Practitioner 9436635596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

14484 John Humphrey Dr
Orland Park, IL 60462-2638
Phone 8328694818235

8240 Naab Rd
Suite 360
Indianapolis, IN 46260-1987
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041353584ILMDRegistered Nurse
71017048AINMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

14484 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 741-2325

6720 Parkdale Pl
Indianapolis, IN 46254
Phone (219) 648-2400

8240 Naab Rd
Ste 360
Indianapolis, IN 46260
Phone (317) 297-3338

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 3

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": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1679317119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 QUAIL DR",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609151338",
            "telephone_number": "708-908-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 QUAIL DR",
            "city": "BRADLEY",
            "state": "IL",
            "postal_code": "609151338",
            "telephone_number": "708-908-0189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8240 Naab Rd Ste 360",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462601987",
            "country_code": "US",
            "telephone_number": "832-869-4818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "MELINDA",
        "middle_name": "ANNE",
        "credential": "RN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71017048A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041353584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "IVEY",
            "middle_name": "ANNE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradley, IL

Sources for this page

Verify at the official NPI Registry.