Individual provider Active NPI

Melanie A Rodewald, ANP-BC

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1750526794
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71002801A Issued in IN
Practice address
6040 W 84TH St
Indianapolis, IN 46278-1360
Phone
(317) 956-6288
Fax
(317) 956-6289
NPI assigned
Dec 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002801A IN Primary

Addresses

Primary practice location

6040 W 84TH St
Indianapolis, IN 46278-1360

Mailing address

6040 W 84TH St
Indianapolis, IN 46278-1360
Phone (317) 956-6288

Other names 1

  • Melanie A Rosswurm Former name

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
I20090126000541 IN Practitioner - Nurse Practitioner 0840354403 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Indiana, LLC CurrentSince Mar 15, 2023 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Mar 15, 2023 Accepting new patients
Sound Physicians of Indiana, LLC Nurse Practitioner Current Accepting new patients
Pike Medical Consultants PC Nurse Practitioner CurrentSince Mar 1, 2012 Accepting new patients

Locations

1345 N Madison Ave
Anderson, IN 46011
Phone (765) 644-2888

762 N Dan Jones Rd
Avon, IN 46123
Phone (201) 856-0224

7911 Michigan Rd
Indianapolis, IN 46268
Phone (317) 960-3278

6040 W 84th St
Indianapolis, IN 46278
Phone (317) 956-1080

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

8549 Madison Ave
Southport, IN 46227
Phone (317) 881-9164

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1750526794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 W 84TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781360",
            "telephone_number": "317-956-6288",
            "fax_number": "317-956-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 W 84TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462781360",
            "telephone_number": "317-956-6288",
            "fax_number": "317-956-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODEWALD",
        "first_name": "MELANIE",
        "middle_name": "A",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-04",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002801A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "ROSSWURM",
            "middle_name": "A",
            "credential": "ANP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.