Active NPI
Madelyn Redmond Leindecker, PA
- Physician Assistant
- Gonzales, LA
National Provider Identifier
1174490163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 349624
- Practice address
- 1014 Saint Clair Blvd Ste 2010
Gonzales, LA 70737-5023 - Phone
- (225) 765-5500
- Fax
- (225) 743-2338
- NPI assigned
- Oct 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 349624 | LA | Primary |
Addresses
Primary practice location
1014 Saint Clair Blvd Ste 2010
Gonzales, LA 70737-5023
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5500
Other practice location 1
5414 Brittany Dr
Baton Rouge, LA 70808-9139
Phone (225) 526-1650
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260108003600 | LA | Practitioner - Physician Assistant | 0648756601 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
309 Belle Terre Blvd
La Place, LA 70068-2433
Phone (985) 359-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349624 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Douglas Mehaffie MD LLC | Current | Accepting new patients |
Locations
148 Wall Blvd
Gretna, LA 70056
Phone (504) 393-2273
4001 Lapalco Blvd
Ste 10
Harvey, LA 70058
Phone (504) 340-0076
309 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-2273
4907 Prytania St
New Orleans, LA 70115
Phone (504) 229-0599
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1174490163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-765-5500",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 SAINT CLAIR BLVD STE 2010",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375023",
"telephone_number": "225-765-5500",
"fax_number": "225-743-2338"
}
],
"practiceLocations": [
{
"address_1": "5414 Brittany Dr",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708089139",
"country_code": "US",
"telephone_number": "225-526-1650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEINDECKER",
"first_name": "MADELYN",
"middle_name": "REDMOND",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-22",
"last_updated": "2026-06-01",
"certification_date": "2026-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "349624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.