Individual provider Active NPI

Melissa Sue Ottenweller, FNP-C

  • Family Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1881938736
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71004278A Issued in IN
Practice address
10528 Coldwater Rd
Fort Wayne, IN 46845-1268
Phone
(260) 338-1700
Fax
(260) 338-1781
NPI assigned
Nov 15, 2012
Last updated
Feb 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71004278A IN Primary
Registered Nurse 163W00000X 28169657A IN

Addresses

Primary practice location

10528 Coldwater Rd
Fort Wayne, IN 46845-1268

Mailing address

10528 Coldwater Rd
Fort Wayne, IN 46845-1268
Phone (260) 338-1700

Other names 1

  • Melissa Sue Meyer Former name

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
I20130116000169 IN Practitioner - Nurse Practitioner 6608029020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrative Health LLCGroup PAC ID 7618373234, 7 clinicians

Practice addresses (Care Compare)

10528 Coldwater Rd
Fort Wayne, IN 46845-1268
Phone (260) 338-1700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28169657AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Chiropractic Rehabilitation and Wellness Center, Inc CurrentSince Feb 17, 2025 Accepting new patients
Advanced Care Connections CurrentSince Feb 1, 2016 Accepting new patients
Integrative Health LLC CurrentSince Feb 17, 2025 Accepting new patients

Locations

110 N Johnson St
Bluffton, IN 46714
Phone (260) 739-5821

10528 Coldwater Rd
Fort Wayne, IN 46845
Phone (260) 338-1700

3010 Independence Dr
Fort Wayne, IN 46808
Phone (260) 348-2485

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17849/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1881938736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10528 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451268",
            "telephone_number": "260-338-1700",
            "fax_number": "260-338-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10528 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468451268",
            "telephone_number": "260-338-1700",
            "fax_number": "260-338-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTTENWELLER",
        "first_name": "MELISSA",
        "middle_name": "SUE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71004278A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28169657A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "MEYER",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.