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MELISSA WISE NP-C
NPI 1093354243
Nurse Practitioner - Family in Princeton, IN

Active since January 04, 2020
108 N MAIN ST, PRINCETON, IN 47670(812) 753-1039(812) 753-1122 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2025, Oct 28, 2020, Jan 4, 2020 (3 updates tracked since 2020).

About Melissa Wise Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA WISE NP-C (NPI 1093354243) is an individual family provider in Princeton, Indiana, licensed in Illinois (209020617) and active in the NPI registry since January 2020. She maintains a secondary practice location in Fort Branch.

NPPES Registry Identity

NPI1093354243
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELISSA WISECredential: NP-C
Location Address108 N MAIN STPrinceton, IN 47670-1540
Mailing Address108 N Main StPrinceton, IN 47670-1540 · (812) 753-1039 · Fax (812) 753-1122
Phone(812) 753-1039
Fax(812) 753-1122
Sole ProprietorYes
Enumeration DateJanuary 4, 2020
Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1093354243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209020617
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71015098A (IN)
108 N MAIN ST, Princeton, IN 47670
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Secondary Practice Location 1

Location 1123 N McCreary StFort Branch, IN 47648-1313 · Phone (812) 753-1039 · Fax (812) 753-1122

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MATTHEW RONALD ATTEBURY LCSW
Social Worker (Clinical)
108 N MAIN ST
PRINCETON, IN 47670
Gibson County (812) 753-1039
MELLISA A HALL N.P.
Nurse Practitioner
108 N MAIN ST
PRINCETON, IN 47670
Gibson County (812) 753-1039

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Wise's NPI number?

The NPI number for Melissa Wise is 1093354243. It was assigned to this individual provider in the NPPES registry on January 4, 2020.

Where is Melissa Wise located?

Melissa Wise practices at 108 N Main St, Princeton, IN 47670. The listed phone number is (812) 753-1039.

What is Melissa Wise's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Melissa Wise was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.