Melinda K Blake, NP
Individual provider Active NPI Family Nurse Practitioner · Indianapolis, IN
NPI 1780138149 · NPPES record last updated Dec 9, 2023
Key facts
- NPI
- 1780138149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71006530A (IN)
- Practice address
- 6330 Digital Way
Indianapolis, IN 46278-1667 - Phone
- (317) 473-6688
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160915002175 | IN | Practitioner - Nurse Practitioner | 7315233475 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Urgent Care Centers, LLC. | Current |
Accepting new patients | |
| Indiana University Health Urgent Care Centers, LLC | Current |
Accepting new patients | |
| Wildest Kindness | Family | Current | Accepting new patients |
| Roadways to Recovery Inc., | Nurse Practitioner | Current |
Accepting new patients |
| Newday Center | Current |
Accepting new patients |
Locations
2620 Industrial Dr
Bedford, IN 47421
Phone (812) 583-6540
90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031
821 N State Road 135
Greenwood, IN 46142
Phone (317) 560-4300
996 S State Road 135
Ste P
Greenwood, IN 46143
Phone (317) 893-3888
6330 Digital Way
Indianapolis, IN 46278
Phone (314) 473-6688
9240 N Meridian St
Ste 340
Indianapolis, IN 46260
Phone (317) 291-1967
Interoperability endpoints
- melinda.blake.1@30495.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28194809A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71006530A | IN | Yes |
Addresses
Primary practice location
6330 Digital Way
Indianapolis, IN 46278-1667
Mailing address
6330 Digital Way
Indianapolis, IN 46278-1667
Other practice location 1
13694 N Meridian St
Carmel, IN 46032-1358
Phone (317) 818-0969
Other providers in Indianapolis, IN
- Austin Blais
- Donna Marie Blake
- Ethan Jeffrey Blake
- Hillary S Blake
- Kara Mikayla Blake
- Rhonda J. Blake
- Robert B Blake
- Robert R. Blake
- Douglas Anthony Blakely
- Makala Blakely
All providers in Indianapolis, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.