MELODIE A GAVIN (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053725085

MELODIE A GAVIN (RN) is a healthcare provider. based in Fort wayne, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 28184959A (IN). The NPI Number for MELODIE A GAVIN (RN) is 1053725085

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MELODIE A GAVIN (RN)
NPI
1053725085
Phone
(260) 481-2700
Address
909 E STATE BLVD
Enumeration Date
18 June 2014
Last Update Date
11 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604812718
Graduation Year
2018 (8 years ago)
PAC ID
3274877030
Group Practice PAC ID
5991794794
Professional Enrollment ID
I20181205000290
Address ID
IN468053458FO909XXBLVD400
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Secure Messaging
mgavin192142@Direct.Parkviewexchange.com
FHIR Endpoint
https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

8,192 NURSE PRACTITIONER in IN

Provider Addresses for MELODIE A GAVIN (RN)

  • 909 E STATE BLVD

    FORT WAYNE, IN 46805

    Phone: (260) 481-2700

    Fax: (260) 481-2709

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 214 Open Payments records for all available years, with a total value of $3,320.

Total Amount is formed as General ($3,320) + Research ($0) + Ownership ($0) = $3,320.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lundbeck LLC ($751).

Total Amount

$3,320

General + Research + Ownership

Payments

214

Total payment records

General Amount

$3,320

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181205000290INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
80305Testing for presence of drug, read by direct observation4411$0
View full utilization report →

Insurance plans in this area (ZIP 46805)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991794794View full group profile
NameSpecialtyState
Mental Health CounselorIN
Clinical Social WorkerIN
Marriage And Family TherapistIN
Family PracticeIN
-IN
-IN
-IN
Nurse PractitionerIN
Mental Health CounselorIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What is MELODIE A GAVIN (RN)'s NPI number?
MELODIE A GAVIN (RN)'s NPI is 1053725085 — the number used across U.S. healthcare to identify this provider.
Is MELODIE A GAVIN (RN) shown as active in public data?
Registry records indicate MELODIE A GAVIN (RN) maintains an active NPI.
How would a patient describe MELODIE A GAVIN (RN)'s focus?
For MELODIE A GAVIN (RN), the primary taxonomy reads as Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MELODIE A GAVIN (RN)?
Travel planning: use Fort Wayne, Indiana as the reference point for MELODIE A GAVIN (RN), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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