Individual provider Active NPI

Melissa L Taylor, FNP

  • Family Nurse Practitioner
  • Whiteland, IN
National Provider Identifier
1841995537
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013742A Issued in IN
Practice address
503 Greenwood Trace Dr
Whiteland, IN 46184-9278
Phone
(317) 535-7447
Fax
(317) 535-0262
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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 71013742A IN Primary

Addresses

Primary practice location

503 Greenwood Trace Dr
Whiteland, IN 46184-9278

Mailing address

503 Greenwood Trace Dr
Whiteland, IN 46184-9278
Phone (317) 535-7447

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
I20230506000192 IN Practitioner - Nurse Practitioner 6305201807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physician Group Cardiology LLCGroup PAC ID 5799199816, 3 clinicians

Practice addresses (Care Compare)

1260 City Ctr Dr
Carmel, IN 46032-3810
Phone (463) 333-9110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71013742AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

Organizations & group practices 2

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1841995537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 GREENWOOD TRACE DR",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "461849278",
            "telephone_number": "317-535-7447",
            "fax_number": "317-535-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 GREENWOOD TRACE DR",
            "city": "WHITELAND",
            "state": "IN",
            "postal_code": "461849278",
            "telephone_number": "317-535-7447",
            "fax_number": "317-535-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MELISSA",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013742A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteland, IN

Sources for this page

Verify at the official NPI Registry.