Individual provider Active NPI

Melissa A Anthony, FNP-BC

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1780079004
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005411A Issued in IN
Practice address
6920 Parkdale PL Ste 215
Indianapolis, IN 46254-5611
Phone
(317) 939-6100
Fax
(317) 343-4600
NPI assigned
Apr 2, 2015
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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 71005411A IN Primary

Addresses

Primary practice location

6920 Parkdale PL Ste 215
Indianapolis, IN 46254-5611

Mailing address

6920 Parkdale PL Ste 215
Indianapolis, IN 46254-5611
Phone (317) 939-6100

Other identifiers 1

IdentifierTypeStateIssuer
201286510MedicaidIN

Other names 1

  • Ms. Melissa A Bailey Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address melissa.anthony@3126.securemail.prognocis.com Direct

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
I20150514000277 IN Practitioner - Nurse Practitioner 3971823055 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Aims, LLC CurrentSince Jan 20, 2023 Accepting new patients
Meridian Health Services Corp. CurrentSince Jan 1, 2026 Accepting new patients
Indiana Neurology and Pain Center LLC CurrentSince Oct 1, 2020 Accepting new patients
Indiana Neurology and Pain Center LLC CurrentSince Oct 1, 2020 Accepting new patients
Aims-Med, LLC CurrentSince Jun 1, 2022 Accepting new patients
Meridian Health Services Corp CurrentSince Jan 1, 2026 Accepting new patients
Major Hospital Past Accepting new patients
Meridian Health Services Corp Past Accepting new patients

Locations

417 S Whitlock St
Bremen, IN 46506
Phone (574) 546-0330

9330 Broadway
Crown Point, IN 46307
Phone (219) 648-2400

1167 Wilson Dr
Greenwood, IN 46143
Phone (317) 851-3101

3850 Shore Dr
Ste 203
Indianapolis, IN 46254
Phone (317) 297-3774

5230 E Stop 11 Rd
Ste 300
Indianapolis, IN 46237
Phone (317) 781-4588

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

6920 Parkdale Pl
Ste 215
Indianapolis, IN 46254
Phone (317) 328-6635

7301 N Shadeland Ave
Ste 1A
Indianapolis, IN 46250
Phone (317) 577-1800

111 E 3rd St
Unit 764
Mishawaka, IN 46546

1001 Hadley Rd
Ste 103
Mooresville, IN 46158
Phone (317) 834-1144

240 N Tillotson Ave
Muncie, IN 47304

Interoperability endpoints

  • Direct secure messaging: melissa.anthony@3126.securemail.prognocis.com

Organizations & group practices 8

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1780079004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 PARKDALE PL STE 215",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545611",
            "telephone_number": "317-939-6100",
            "fax_number": "317-343-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 PARKDALE PL STE 215",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545611",
            "telephone_number": "317-939-6100",
            "fax_number": "317-343-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71005411A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201286510",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "melissa.anthony@3126.securemail.prognocis.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6920 Parkdale Pl Ste 215",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462545611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "BAILEY",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.