Individual provider Active NPI

Melissa B Hinds, APRN, NNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1942605142
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
209011875 Issued in IL
Practice address
4481 Ash Grove Dr Ste B
Springfield, IL 62711-6359
Phone
(217) 803-7341
NPI assigned
Oct 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209011875 IL Primary
Neonatal Nurse Practitioner 363LN0000X 209-011875 IL

Addresses

Primary practice location

4481 Ash Grove Dr Ste B
Springfield, IL 62711-6359

Mailing address

4481 Ash Grove Dr Ste B
Springfield, IL 62711-6359
Phone (217) 803-7341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Hinds Psychiatry, PLLC Current Accepting new patients
Siu Physicians & Surgeons, Inc Past Accepting new patients

Locations

4481 Ash Grove Dr
Ste B
Springfield, IL 62711
Phone (217) 247-4421

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": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1942605142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4481 ASH GROVE DR STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116359",
            "telephone_number": "217-803-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 ASH GROVE DR STE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627116359",
            "telephone_number": "217-803-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDS",
        "first_name": "MELISSA",
        "middle_name": "B",
        "credential": "APRN, NNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-30",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209011875",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "IL",
            "license": "209-011875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.