Individual ProviderMelanie J. HeathNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140(260) 435-6722(260) 479-3514PECOS EnrollmentBased on the most recent information from CMS, provider Melanie J. Heath does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1609324342Provider TypeIndividualFull NameHeath, Melanie J.CredentialNPGenderFemaleSole ProprietorNoEnumeration Date9/12/2016Last Updated9/23/2020Contact InformationPractice LocationPractice Address7956 W Jefferson Blvd, Fort Wayne, IN 46804-4140Phone(260) 435-6722Fax(260) 435-6726Mailing LocationMailing Address6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934Phone(260) 479-3514Fax(260) 479-3520Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71006719AIndiana