MELLISA JANE LEE FREE-STOUDER NP
NPI 1861042707
Nurse Practitioner in Fort Wayne, IN
About Mellisa Jane Lee Free-stouder Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELLISA JANE LEE FREE-STOUDER NP (NPI 1861042707) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71016954A) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mellisa Jane Lee Free-stouder Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Mellisa Free-stouder reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46845
- Reassigned Medicare billing, Indiana enrollment
- 1,752 clinicians in this Medicare group
Hanover, IN 47243
- Reassigned Medicare billing, Indiana enrollment
- 220 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Indiana enrollment
- 171 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
FORT WAYNE, IN 46845
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 Mellisa Free-stouder's NPI number?
The NPI number for Mellisa Free-stouder is 1861042707. It was assigned to this individual provider in the NPPES registry on September 12, 2019.
Where is Mellisa Free-stouder located?
Mellisa Free-stouder practices at 11108 Parkview Circle Dr, Fort Wayne, IN 46845. The listed phone number is (260) 266-5700.
What is Mellisa Free-stouder's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mellisa Free-stouder enrolled in Medicare?
Yes. Mellisa Free-stouder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mellisa Free-stouder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mellisa Free-stouder reassigns Medicare benefits to 3 organizations: Parkview Health System, Inc. (Fort Wayne, IN), Fast Pace Medical Clinic PLLC (Hanover, IN) and Upperline Healthcare, PC (Hoover, AL). Each 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 Mellisa Free-stouder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mellisa Free-stouder accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Mellisa Free-stouder 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 Mellisa Free-stouder was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mellisa Jane Lee Free-Stouder, NP · NPI 1861042707
Nurse Practitioner physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since September 12, 2019.
## Identity
- **NPI:** 1861042707 (Entity type: Individual)
- **Enumerated:** September 12, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71016954A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 11108 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845-1730
- **Phone:** (260) 266-5700 · **Fax:** (260) 266-5910
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Parkview Health System, Inc. (NPI 1003061797, Fort Wayne, IN); Fast Pace Medical Clinic PLLC (NPI 1649770769, Hanover, IN); Upperline Healthcare, PC (NPI 1538686498, Hoover, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** August 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861042707) · Data from the CMS NPPES public registry.