Melissa Marie Papczynski, APRN, NP-C
Individual provider Active NPI Gerontology Nurse Practitioner · Mishawaka, IN
NPI 1851060412 · NPPES record last updated Sep 8, 2021
Key facts
- NPI
- 1851060412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 4704274046 (MI)
- Practice address
- 230 W Catalpa Dr Ste D
Mishawaka, IN 46545-8322 - Phone
- (574) 257-7551
- NPI assigned
- Sep 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 24
Hospital & facility affiliations 3
Medicare Care Compare profile
- 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 Inc
Vpa PC
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
- Seasons Home Health Care
- Michiana Home Care
- Lakeland Hospital, St Joseph
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, MI
- 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 |
|---|---|---|---|---|
| I20241125001956 | IN | Practitioner - Nurse Practitioner | 5991934804 | Reassigns benefits to 1 organization |
| I20251016004327 | MI | Practitioner - Nurse Practitioner | 5991934804 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704274046 | MI | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region IV Area Agency on Aging, Inc | Single Specialty | Current |
Accepting new patients |
| Mid-South Home Care Services, LLC | Single Specialty | Current |
Accepting new patients |
| Mid-South Home Care Services, LLC | Single Specialty | Current |
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
- melissa.papczynkski.1@27992.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner |
363LG0600X | 4704274046 | MI | Yes |
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
Other providers in Mishawaka, IN
- Ajit V Pai
- Jason P Palmateer
- Shaun Robert Palus
- Halo Nikolaevna Pancake
- Cassandra Papak
- Paragon Care Network
- Paragon Home Health Care, Inc.
- Paramount Medical Solutions LLC
- Paramount Medical Solutions LLC
- April Hana Park
All providers in Mishawaka, IN · Gerontology 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 Sep 8, 2021. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.