Melissa K Gephart (NPI# 1174893531, PAC ID# 4880860048) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174893531 |
| PAC ID by PECOS | 4880860048 |
| Professional Enrollment ID | I20120110000623 |
| Full Name | Melissa K Gephart |
| Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
| Address |
700 Broadway Fort Wayne IN 46802-1402 |
| Phone Number | 2604322297 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4981751617 |
| Number of Group Practice Members | 211 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150017 | LUTHERAN HOSPITAL OF INDIANA |
| 150047 | ST JOSEPH HOSPITAL |
| 150150 | DUPONT HOSPITAL LLC |
| 150075 | BLUFFTON REGIONAL MEDICAL CENTER |
| 150168 | THE ORTHOPAEDIC HOSPITAL OF LUTHERAN HEALTH NETWOR |
| Address | Phone | Organization |
|---|---|---|
| 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2604346076 | LUTHERAN MEDICAL GROUP LLC |
| 2520 E Dupont Rd, Dupont Hospital, Fort Wayne, IN 46825-1675 | 2604322297 | LUTHERAN MEDICAL GROUP LLC |
| 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2604322297 | LUTHERAN MEDICAL GROUP LLC |
| 700 Broadway, Fort Wayne, IN 46802-1402 | 2604322297 | LUTHERAN MEDICAL GROUP LLC |
| 7900 W Jefferson Blvd, Fort Wayne, IN 46804-4128 | LUTHERAN MEDICAL GROUP LLC | |
| 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2604322297 | LUTHERAN MEDICAL GROUP LLC |
| 7938 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2604368583 | LUTHERAN MEDICAL GROUP LLC |
| 7950 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | LUTHERAN MEDICAL GROUP LLC | |
| 7952 W Jefferson Blvd, The Orthopedic Hospital, Fort Wayne, IN 46804-4140 | 2604352999 | LUTHERAN MEDICAL GROUP LLC |
| 7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2604352836 | LUTHERAN MEDICAL GROUP LLC |
| 7956 W Jefferson Blvd, Suite 310, Fort Wayne, IN 46804-4140 | 2604346339 | LUTHERAN MEDICAL GROUP LLC |
| 7970 W Jefferson Blvd, Fort Wayne, IN 46804-4140 | 2604356105 | LUTHERAN MEDICAL GROUP LLC |
| 7970 W Jefferson Blvd, Rehabilitation Hospital of Indiana, Fort Wayne, IN 46804-4140 | 2604322297 | LUTHERAN MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% |
| Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
| Physicians | 216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Stemen | Nurse Practitioner | Lutheran Medical Group LLC | 11115 Lima Rd, Fort Wayne, IN 46818-9536 |
| David C. Cronin | General Surgery | Lutheran Medical Group LLC | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 |
| George Steven Kalesperis | Family Medicine | Lutheran Medical Group LLC | 6511 E State Blvd, Fort Wayne, IN 46815-7026 |
| Ann R. Moore | Nurse Practitioner | Lutheran Medical Group LLC | 303 S Main St, Bluffton Regional Hospital, Bluffton, IN 46714-2503 |
| Stephanie A Clouse | Nurse Practitioner | Lutheran Medical Group LLC | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Nicole Sanderson | Nurse Practitioner | Lutheran Medical Group LLC | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 |
| Kanika Jaggi | Family Medicine | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 800, Fort Wayne, IN 46806-3393 |
| Ibad Ul-haq Farooqui | Family Medicine | Lutheran Medical Group LLC | 402 E Main St, Fort Wayne, IN 46802-1910 |
| Christine Springer | Nurse Practitioner | Lutheran Medical Group LLC | 10429 Hosler Rd, Leo, IN 46765-9739 |
| Leia A Becktell | Nurse Practitioner | Lutheran Medical Group LLC | 7952 W Jefferson Blvd, The Orthopedic Hospital, Fort Wayne, IN 46804-4140 |
| Street Address |
700 BROADWAY |
| City | FORT WAYNE |
| State | IN |
| Zip | 46802-1402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikkiya Fraser | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| George J Moussally | Nurse Practitioner | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Tara J Little | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Calvert B Wait | Internal Medicine | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Debra K Brandenberger | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| April Renee Morrison | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Dedrick K. Bowe | Pulmonary Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Kristian R Henriquez Mirandona | Internal Medicine | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Maryann Meo | General Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Carrie B Price | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Wood | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Glenn Alan Glogas | Undersea and Hyperbaric Medicine | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Darnell J Brown | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Thomas A Kintanar | Family Medicine | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Patrick M Holly | Family Medicine | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Philip A Rettenmaier | Undersea and Hyperbaric Medicine | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Eamon B O'reilly | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Yan Tomas Ortiz-pomales | General Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Gordon Lindberg | General Surgery | St Joseph Medical Group Inc | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Douglas E Sawyer | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Find all physicians in zip 46802 | |||
| City | FORT WAYNE |
| Zip Code | 46802 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT WAYNE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Melissa K Gephart.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.