STACEY MELS (NPI# 1114421161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114421161 |
| Entity Type | Individual |
| Full Name | STACEY MELS |
| Credential | PNP |
| Practice Address |
253 Sagamore Pkwy W West Lafayette IN 47906 |
| Mailing Address |
Po Box 5545 Lafayette IN 47903-5545 |
| Practice Telephone | 7654488000 |
| Mailing Telephone | 7654488000 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28222616A | IN | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
71008063A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000001189856 | 01 |
| IN | PENDING | 05 |
| Street Address |
253 SAGAMORE PKWY W |
| City | WEST LAFAYETTE |
| State | IN |
| Zip Code | 47906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316934102 | Lori E Pekarek | Emergency Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2005-10-05 |
| 1457826661 | Meghan L Lovellette | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2018-10-04 |
| 1154803716 | Kasey Williams | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2018-08-30 |
| 1952897118 | Jenny Mullis | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906 | 2018-07-10 |
| 1649705138 | Megan Ishikawa | Family Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-04-22 |
| 1750822367 | Katie D Aldridge | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-03-15 |
| 1639619091 | Michelle Yakimicki | Registered Nurse | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2017-03-06 |
| 1912449273 | Scott F Wood | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-11-17 |
| 1912360348 | Scott E. Wilkins | Family Medicine | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-04-02 |
| 1164884110 | Priscilla A Hetrick | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2016-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457990848 | Wickshire West Lafayette Opco LLC | Assisted Living Facility | 3575 Senior Place, West Lafayette, IN 47906 | 2020-01-02 |
| 1992290530 | Cameron Eldred | Specialist/Technologist | 3367 Edison Dr, West Lafayette, IN 47906 | 2018-06-26 |
| 1720593403 | Devin Kay Hall | Specialist/Technologist | 900 John R. Wooden Drive, West Lafayette, IN 47906 | 2017-12-04 |
| 1609398270 | Christian Floirendo | Specialist/Technologist | 2225 Willowbrook Dr, #207, West Lafayette, IN 47906 | 2017-07-14 |
| 1699176800 | Leslie Michell Pell | Registered Nurse | 1873 Kingeider Drive, West Lafayette, IN 47906 | 2014-09-07 |
| 1881007581 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2636 Us52 Sagamore Pkwy, West Lafayette, IN 47906 | 2014-06-10 |
| 1588089536 | Sarah Pierce | Pharmacist | 2636 Us 52, West Lafayette, IN 47906 | 2014-02-27 |
| 1811228240 | Angelica D. Kokkalis | Acupuncturist | 124 Westwood Dr., W. Lafayette, IN 47906 | 2010-01-25 |
| 1255529335 | Greater Lafayette Health Services | Clinic/Center | 3482 Mcclure Ave, West Lafayette, IN 47906 | 2007-10-15 |
| 1871784330 | Sally A Timmons LLC | Social Worker | 120 Sagamore Parkway West, West Lafayette, IN 47906 | 2007-08-08 |
| Find all providers in zip 47906 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346209392 | Jennifer Ann Coddington | Nurse Practitioner | 502 N University St, Johnson Hall Rm B-5, West Lafayette, IN 47907-2069 | 2006-03-20 |
| 1427578863 | Sherry Robin Franscoviak | Nurse Practitioner | 915 Sagamore Pkwy W, West Lafayette, IN 47906-1443 | 2017-06-27 |
| 1124264502 | Azza H Ahmed | Nurse Practitioner | 502 N University St, West Lafayette, IN 47907-2069 | 2009-01-06 |
| 1013976588 | Marcia Ann Stroup | Nurse Practitioner | 253 Sagamore Pkwy W, West Lafayette, IN 47906-1501 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822844 | Kelsey M Knight | Nurse Practitioner | 705 Riley Hospital Dr Ste 1601, Indianapolis, IN 46202-5109 | 2020-08-21 |
| 1699306241 | Amber Barney | Nurse Practitioner | 3611 S Lafountain St, Kokomo, IN 46902 | 2020-02-03 |
| 1700420031 | Randi D Bragg | Nurse Practitioner | Marion Pediatrics, 1411w Bella Drive, Marion, IN 46953-5250 | 2019-10-30 |
| 1659923761 | Elizabeth Marie Bowen | Nurse Practitioner | 13914 Southeastern Pkwy Ste 300, Fishers, IN 46037-7126 | 2019-07-10 |
| 1912462664 | Mindy Kay Krsak | Nurse Practitioner | 3229 Broadway Ste 205, Gary, IN 46409-1038 | 2019-02-06 |
| 1497221154 | Christina Ownbey | Nurse Practitioner | 517 Ball Dr Unit 302, Hanover, IN 47243-9656 | 2018-10-22 |
| 1578056842 | Jenna Elizabeth Bednarski | Nurse Practitioner | 3741 Rome Dr Ste B, Lafayette, IN 47905-4490 | 2018-06-12 |
| 1427594696 | Alecia A Woody | Nurse Practitioner | 3400 Lafayette Rd, Suite 200, Shalom Health Care Center Inc, Indianapolis, IN 46222-1146 | 2017-01-12 |
| 1043688211 | Mary Hendrix | Nurse Practitioner | 3118 S Lafountain St # At, Kokomo, IN 46902-3710 | 2015-09-04 |
| 1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST LAFAYETTE |
| Zip Code | 47906 |
Please comment or provide details below to improve the information on STACEY MELS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.