Individual provider Active NPI

Melissa E Ford, PA-C

  • Medical Physician Assistant
  • Anderson, IN
National Provider Identifier
1700931441
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10000923A Issued in IN
Practice address
2210 Jackson St
Anderson, IN 46016
Phone
(765) 683-3118
NPI assigned
Jan 24, 2007
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10000923A IN
Medical Physician Assistant 363AM0700X 10000923A IN Primary

Addresses

Primary practice location

2210 Jackson St
Anderson, IN 46016

Mailing address

2210 Jackson St
Anderson, IN 46016-4363

Other names 1

  • Melissa E Key Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa.key.1@7598.direct.athenahealth.com ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.

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
I20070614000744 IN Practitioner - Physician Assistant 9830297829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1916 Jackson St
Anderson, IN 46016-4336
Phone (765) 683-3149

1931 Brown St
Anderson, IN 46016-4206
Phone (765) 646-8247

2015 Jackson St
Anderson, IN 46016-4337
Phone (765) 646-8179

2020 Meridian St
Anderson, IN 46016-4343

2020 Meridian St
Suite 100
Anderson, IN 46016-4338
Phone (765) 646-8509

2210 Jackson St
Anderson, IN 46016-4363
Phone (765) 644-1414

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10000923AINMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Anderson Regional Hospital, Inc. CurrentSince Mar 5, 2014 Accepting new patients
St. Vincent Anderson Regional Hospital, Inc. CurrentSince Mar 5, 2014 Accepting new patients
Meridian Medical Group PC PastSince Jul 1, 2010 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients

Locations

2210 Jackson St
Anderson, IN 46016
Phone (765) 644-1414

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

Interoperability endpoints

  • Direct secure messaging: melissa.key.1@7598.direct.athenahealth.com

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 1

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1700931441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "46016",
            "telephone_number": "765-683-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MELISSA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000923A",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000923A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.key.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "ST. VINCENT ANDERSON REGIONAL HOSPITAL, INC.",
            "address_1": "2210 Jackson St",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "KEY",
            "middle_name": "E",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.