Individual provider Active NPI

Melanie Josephine Pickett

  • Family Nurse Practitioner
  • Washington, IN
National Provider Identifier
1902417686
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010208A Issued in IN
Practice address
1301 E National Hwy
Washington, IN 47501-4163
Phone
(812) 674-5372
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71010208A IN
Family Nurse Practitioner 363LF0000X 71010208A IN Primary

Addresses

Primary practice location

1301 E National Hwy
Washington, IN 47501-4163

Mailing address

PO Box 306417
Nashville, TN 37230-6417
Phone (931) 253-1110

Other practice location 1

1600 Willow St
Vincennes, IN 47591-4200
Phone (812) 437-7246

Other practice location 2

3559 Newton St
Jasper, IN 47546-1051
Phone (812) 437-7246

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
I20200918001337 IN Practitioner - Nurse Practitioner 5890113195 Reassigns benefits to 2 organizations

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
Biltmore Dermatology LLCGroup PAC ID 0143593145, 4 clinicians

Practice addresses (Care Compare)

1813 Willow St
Suite 3B
Vincennes, IN 47591-4279
Phone (812) 494-0222

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
69.15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 8, 2023 Accepting new patients
Biltmore Dermatology LLC CurrentSince Mar 10, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Nov 8, 2023 Accepting new patients

Locations

4152 W State Road 56
Hanover, IN 47243
Phone (812) 762-4510

76 W Springhill Dr
Terre Haute, IN 47802
Phone (812) 299-2020

1813 Willow St
Ste 3B
Vincennes, IN 47591
Phone 81247772461017

1301 E National Hwy
Washington, IN 47501
Phone (812) 674-5372

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1902417686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306417",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306417",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E NATIONAL HWY",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475014163",
            "telephone_number": "812-674-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Willow St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475914200",
            "country_code": "US",
            "telephone_number": "812-437-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3559 Newton St",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "IN",
            "postal_code": "475461051",
            "country_code": "US",
            "telephone_number": "812-437-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKETT",
        "first_name": "MELANIE",
        "middle_name": "JOSEPHINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010208A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010208A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.