Individual provider Active NPI

Melissa Anne Traxler, MD

  • Emergency Medicine Physician
  • Winnsboro, LA
National Provider Identifier
1073556502
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200118 Issued in LA
Practice address
2106 Loop Rd
Winnsboro, LA 71295-3344
Phone
(318) 435-9411
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200118 LA Primary

Addresses

Primary practice location

2106 Loop Rd
Winnsboro, LA 71295-3344

Mailing address

PO Box 1300
Winnsboro, LA 71295-1300
Phone (318) 435-9411

Other identifiers 4

IdentifierTypeStateIssuer
12666894OtherCAQH
P00672316OtherLARAILROAD MEDICARE
4YJC5OtherLAMEDICARE
1627607MedicaidLA

Other names 1

  • Dr. Melissa Anne Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050819000019 LA Practitioner - Emergency Medicine 5698705697 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Louisiana State University School of Medicine in Shreveport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franklin Parish Hospital Service Dist 1Group PAC ID 7810893302, 80 clinicians

Practice addresses (Care Compare)

2106 Loop Rd
Winnsboro, LA 71295-3344
Phone (318) 412-5265

Hospital & facility affiliations

  • Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200118LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franklin Parish Hospital Service Dist 1 CurrentSince Jan 1, 2014 Accepting new patients
Franklin Parish Hospital Service Dist 1 CurrentSince Jan 1, 2014 Accepting new patients
Ed Physicians of West Louisiana, LLC Emergency Medicine CurrentSince Apr 1, 2008 Accepting new patients
Franklin Parish Hospital Service Dist 1 Past Accepting new patients
Franklin Parish Hospital Service Dist 1 Past Accepting new patients
Franklin Parish Hospital Past Accepting new patients
St Francis ER Physicians Past Accepting new patients

Locations

200 Corporate Blvd
Ste 201
Lafayette, LA 70508

104 Verona St
Newellton, LA 71357
Phone (318) 467-2349

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571

2106 Loop Rd
Winnsboro, LA 71295
Phone (318) 282-8482

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1073556502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712951300",
            "telephone_number": "318-435-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 LOOP RD",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712953344",
            "telephone_number": "318-435-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAXLER",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "200118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12666894",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00672316",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "4YJC5",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1627607",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "SMITH",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winnsboro, LA

Sources for this page

Verify at the official NPI Registry.