MELINDA DOLACK APRN
NPI 1184022634
Nurse Practitioner - Family in Louisville, KY

Q: What is Melinda Dolack's NPI number?

The NPI number for Melinda Dolack is 1184022634. It was assigned to this individual provider in the NPPES registry on December 16, 2014.

Q: What is Melinda Dolack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Melinda Dolack was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since December 16, 2014PECOS Enrolled

2440 BARDSTOWN RD, LOUISVILLE, KY 40205(502) 632-0984(502) 632-0985 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 22, 2017, Aug 9, 2017 (3 updates tracked since 2017).

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About Melinda Dolack Aprn NPPES

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

MELINDA DOLACK APRN (NPI 1184022634) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3008836) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184022634

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELINDA DOLACKCredential: APRN

Location Address2440 BARDSTOWN RDLouisville, KY 40205-2123

Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108 · (615) 425-4200

Phone(502) 632-0984

Fax(502) 632-0985

Sole ProprietorYes

Enumeration DateDecember 16, 2014

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1184022634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in KY · 3008836

2440 BARDSTOWN RD, Louisville, KY 40205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melinda Dolack Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Melinda Dolack reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Phyisicians, Inc.

2.8 mi

Urgent Care

908 DUPONT RD
Louisville, KY 40207

Reassigned Medicare billing, Kentucky enrollment
Medicare enrollment name: University Of Louisville Physicians Inc
2,337 clinicians in this Medicare group

NPI 1992382139 (502) 749-0909

Kiosk Medicine Kentucky LLC

3.3 mi

Family

3039 BRECKENRIDGE LN
Louisville, KY 40220

Reassigned Medicare billing, Kentucky enrollment
488 clinicians in this Medicare group

NPI 1205885035 (502) 451-4555

Windrose Health Network, Inc.

74 mi

Federally Qualified Health Center (FQHC)

163 BUTNER DR
Hope, IN 47246

Reassigned Medicare billing, Indiana enrollment
47 clinicians in this Medicare group

NPI 1346520426 (812) 546-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

REBEKKAH JANE PARAS PHARMD

Pharmacist