Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Melissa Dawn Slack, APRN

Individual provider Family Medicine Physician · NPI 1265103261

Melissa Dawn Slack, APRN is a Nurse Practitioner in Brookville, Ohio. Qualified in 2020, 6 years ago. Practices with Healogics Specialty Physicians of Ohio, LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

12134 Old Dayton Rd
Brookville, OH 45309-8361
Phone: (937) 416-8874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence CNP.0029805 (OH)

Record details

NPI number1265103261
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedSeptember 21, 2021
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing address12134 Old Dayton Rd, Brookville, OH 45309-8361

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Healogics Specialty Physicians Of Ohio, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Brookville