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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MELLISA JANE LEE FREE-STOUDER NP
NPI 1861042707
Nurse Practitioner in Fort Wayne, IN

Active since September 12, 2019PECOS Enrolled
71.93/100
CMS Quality Rating
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(260) 266-5700(260) 266-5910 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 20, 2026, Mar 30, 2020, Sep 12, 2019 (3 updates tracked since 2019).

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

NPI1861042707
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELLISA JANE LEE FREE-STOUDERCredential: NP
Location Address11108 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1730
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(260) 266-5700
Fax(260) 266-5910
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2019
Enumeration DateSeptember 12, 2019
Last NPPES UpdateAugust 20, 20263 updates tracked since enumeration
NPPES CertifiedAugust 20, 2026
✔ NPI 1861042707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71016954A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 201907957NP-PP (OR)
11108 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4183056914
PECOS Enrollment IDI20250924000492
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.

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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

71.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.53
Promoting Interoperability100
Improvement Activities40
Cost10

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.

SHANNON L DECKER
Nurse Practitioner
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DAVID P LLOYD MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
11108 PARKVIEW CIRCLE DR, SUITE 5100
FORT WAYNE, IN 46845
Allen County (260) 266-2800
HOLLACE D CHASTAIN MD
Internal Medicine (Interventional Cardiology)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DR. MARYAM NOURELDIN PHARMD, BCPS
Pharmacist (Ambulatory Care)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-4480
VAISHALI A PATEL
Nurse Practitioner
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
WILLIAM W WILSON MD
Internal Medicine (Cardiovascular Disease)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
MICHAEL J MIRRO MD
Internal Medicine (Cardiovascular Disease)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-5700
DR. NOAH BUDI PHARMD.
Pharmacist (Ambulatory Care)
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Allen County (260) 266-4480

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.

What insurance does Mellisa Free-stouder accept?

Health plans from Moda Health Plan, Inc. 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 18 days 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.