Individual provider Active NPI

Melissa Rene Ducotey, APRN

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1124755483
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226858 Issued in LA
Practice address
1717 Oak Park Blvd FL 2
Lake Charles, LA 70601-8990
Phone
(337) 494-3278
Fax
(337) 494-3240
NPI assigned
Aug 5, 2022
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 226858 LA Primary

Addresses

Primary practice location

1717 Oak Park Blvd FL 2
Lake Charles, LA 70601-8990

Mailing address

PO Box 122152 Dept 2152
Dallas, TX 75312-2152
Phone (337) 494-2921

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220901000092 LA Practitioner - Nurse Practitioner 9931583499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Charles Memorial Heart and Vascular CenterGroup PAC ID 4082689914, 15 clinicians

Practice addresses (Care Compare)

1717 Oak Park Blvd
FL 2
Lake Charles, LA 70601-8990
Phone (337) 494-3278

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
226858LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Memorial Heart and Vascular Center CurrentSince Aug 1, 2022 Accepting new patients
Lake Charles Medical Services, Inc PastSince Aug 1, 2022 Accepting new patients
Cardiovascular Specialists of Southwest Louisiana, LLC PastSince Aug 1, 2022 Accepting new patients
Lake Charles Medical Services Orthopedics LLC PastSince Aug 1, 2022 Accepting new patients

Locations

1717 Oak Park Blvd
Fl 2
Lake Charles, LA 70601
Phone (337) 474-5092

913 E Kent Dr
Sulphur, LA 70663
Phone (337) 527-3610

Interoperability endpoints

  • Direct secure messaging: mducotey5281963@direct.casso.us.com

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1124755483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122152 DEPT 2152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122152",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD FL 2",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018990",
            "telephone_number": "337-494-3278",
            "fax_number": "337-494-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCOTEY",
        "first_name": "MELISSA",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "226858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.