MELISSA MARIE CLEMMER MS
NPI 1710538442
Counselor - Mental Health in Fort Wayne, IN

Active since September 24, 2019PECOS Enrolled
2100 GOSHEN RD, FORT WAYNE, IN 46808(260) 471-3500 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melissa Marie Clemmer Ms NPPES

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

MELISSA MARIE CLEMMER MS (NPI 1710538442) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710538442
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMELISSA MARIE CLEMMERCredential: MS
Location Address2100 GOSHEN RDFort Wayne, IN 46808-1493
Mailing Address2621 E Jefferson StWarsaw, IN 46580-3880
Sole ProprietorNo
Enumeration DateSeptember 24, 2019
✔ NPI 1710538442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2100 GOSHEN RD, Fort Wayne, IN 46808

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Marie Clemmer Ms 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 Reassignment

Medicare enrollment records show Melissa Clemmer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
201 E RUDISILL BLVD
Fort Wayne, IN 46806
  • Reassigned Medicare billing, Indiana enrollment
  • 260 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Marriage & Family Therapist
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Psychiatry & Neurology (Psychiatry)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor (Mental Health)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor
2100 GOSHEN RD
FORT WAYNE, IN 46808
Social Worker (Clinical)
2100 GOSHEN RD
FORT WAYNE, IN 46808
Counselor
2100 GOSHEN RD
FORT WAYNE, IN 46808

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 Clemmer's NPI number?

The NPI number for Melissa Clemmer is 1710538442. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Melissa Clemmer located?

Melissa Clemmer practices at 2100 Goshen Rd, Fort Wayne, IN 46808. The listed phone number is (260) 471-3500.

What is Melissa Clemmer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Melissa Clemmer enrolled in Medicare?

Yes. Melissa Clemmer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Melissa Clemmer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Clemmer reassigns Medicare benefits to Bowen Health Inc (Fort Wayne, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Clemmer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melissa Clemmer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Melissa Clemmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa Clemmer was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.