| Stacey Melissa Mels, NP | |
|
253 Sagamore Pkwy W, West Lafayette, IN 47906 | |
| (765) 448-8000 | |
| Not Available |
| Full Name | Stacey Melissa Mels |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 253 Sagamore Pkwy W, West Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114421161 | NPI | - | NPPES |
| 300018556 | Medicaid | IN | |
| 000001189856 | Other | IN | ANTHEM PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 28222616A (Indiana) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 71008063A (Indiana) | Primary |
| Entity Name | Arnett Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Entity Name | Indiana Clinic-neurology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578792271 PECOS PAC ID: 3678626140 Enrollment ID: O20090730000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Melissa Mels, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Stacey Melissa Mels, NP 253 Sagamore Pkwy W, West Lafayette, IN 47906 Ph: (765) 448-8000 |
Laura L Wavra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Marcia Ann Stroup, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8227 | |
Mrs. Ashley Nicole Hogan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 317-207-7413 | |
Gayle Doll, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-497-3551 | |
Mrs. Stephanie L. Davitto, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy West, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905 | |
Yun Cai, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700 | |
Azza H Ahmed, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 765-494-4040 |