Individual provider Active NPI

Melissa Marie Papczynski, APRN, NP-C

  • Gerontology Nurse Practitioner
  • Mishawaka, IN
National Provider Identifier
1851060412
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704274046 Issued in MI
Practice address
230 W Catalpa Dr Ste D
Mishawaka, IN 46545-8322
Phone
(574) 257-7551
NPI assigned
Sep 8, 2021
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X 4704274046 MI Primary

Addresses

Primary practice location

230 W Catalpa Dr Ste D
Mishawaka, IN 46545-8322

Mailing address

230 W Catalpa Dr Ste D
Mishawaka, IN 46545-8322
Phone (574) 257-7551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241125001956 IN Practitioner - Nurse Practitioner 5991934804 Reassigns benefits to 1 organization
I20251016004327 MI Practitioner - Nurse Practitioner 5991934804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Region IV Area Agency on Aging IncGroup PAC ID 7315233905, 4 clinicians
Vpa PCGroup PAC ID 9234041948, shared by 21 NPIs, 181 clinicians

Practice addresses (Care Compare)

2900 Lakeview Ave
Saint Joseph, MI 49085-2379
Phone (269) 983-0177

5838 W Brick Rd
Suite 106
South Bend, IN 46628-8420
Phone (216) 678-4599

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704274046MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-South Home Care Services, LLC Single Specialty CurrentSince Sep 19, 2024 Accepting new patients
Region IV Area Agency on Aging, Inc Single Specialty CurrentSince Sep 15, 2025 Accepting new patients
Mid-South Home Care Services, LLC Single Specialty CurrentSince Sep 19, 2024 Accepting new patients

Locations

9775 Crosspoint Blvd
Ste 118
Indianapolis, IN 46256
Phone (317) 381-0095

2900 Lakeview Ave
Saint Joseph, MI 49085
Phone (269) 408-4322

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

Interoperability endpoints

  • Direct secure messaging: melissa.papczynkski.1@27992.direct.athenahealth.com

Organizations & group practices 3

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 3

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1851060412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W CATALPA DR STE D",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458322",
            "telephone_number": "574-257-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W CATALPA DR STE D",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465458322",
            "telephone_number": "574-257-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPCZYNSKI",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704274046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.