Individual provider Active NPI

Melissa Lorenz

  • Acute Care Nurse Practitioner
  • Jeffersonville, IN
National Provider Identifier
1700239175
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3010508 Issued in KY
Practice address
301 Gordon Gutmann Blvd Ste 301
Jeffersonville, IN 47130-3767
Phone
(812) 288-9969
Fax
(812) 288-9657
NPI assigned
Jul 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3010508 KY Primary

Addresses

Primary practice location

301 Gordon Gutmann Blvd Ste 301
Jeffersonville, IN 47130-3767

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Other identifiers 2

IdentifierTypeStateIssuer
201386570MedicaidIN
7100418110MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mlorenz12387@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20160829001669 KY Practitioner - Nurse Practitioner 4284929365 Reassigns benefits to 2 organizations
I20180306000553 IN Practitioner - Nurse Practitioner 4284929365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
60.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals, Inc Acute Care CurrentSince Nov 6, 2017 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Norton Hospitals Inc CurrentSince Nov 6, 2017 Accepting new patients
Community Medical Associates, Inc. Acute Care Current Accepting new patients

Locations

245 Atwood St
Corydon, IN 47112
Phone (812) 734-0912

301 Gordon Gutmann Blvd
Ste 301
Jeffersonville, IN 47130
Phone (812) 288-9969

3 Audubon Plaza Dr
Ste 220
Louisville, KY 40217
Phone (502) 636-7242

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

315 E Broadway
Louisville, KY 40202
Phone (502) 272-5331

676 S Floyd St
Ste 200
Louisville, KY 40202
Phone (502) 629-2500

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

Organizations & group practices 5

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1700239175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GORDON GUTMANN BLVD STE 301",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303767",
            "telephone_number": "812-288-9969",
            "fax_number": "812-288-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZ",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KY",
            "license": "3010508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201386570",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100418110",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlorenz12387@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "301 Gordon Gutmann Blvd Ste 301",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "301 Gordon Gutmann Blvd Ste 301",
            "city": "Jeffersonville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471303767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

Verify at the official NPI Registry.