Individual provider Active NPI

Melissa Tran, FNP-C

  • Primary Care Nurse Practitioner
  • Kenner, LA
National Provider Identifier
1245063114
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
213236 Issued in LA
Practice address
500 Vintage Dr
Kenner, LA 70065-1776
Phone
(504) 920-3212
NPI assigned
Aug 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 213236 LA Primary

Addresses

Primary practice location

500 Vintage Dr
Kenner, LA 70065-1776

Mailing address

308 Southwood Dr
Gretna, LA 70056-7867
Phone (504) 920-3212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250627002533 AL Practitioner - Nurse Practitioner 5395258966 Reassigns benefits to 1 organization
I20260526000297 LA Practitioner - Nurse Practitioner 5395258966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middle Creek Medical CenterGroup PAC ID 0547368177, 6 clinicians

Practice addresses (Care Compare)

4810 Bell Hill Rd
Bessemer, AL 35022-6948
Phone (205) 477-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
213236LAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Creek Medical Center CurrentSince May 1, 2025 Accepting new patients

Locations

4810 Bell Hill Rd
Bessemer, AL 35022
Phone (205) 426-3737

Organizations & group practices 2

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": "1724457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724457600000",
    "number": "1245063114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SOUTHWOOD DR",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567867",
            "telephone_number": "504-920-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VINTAGE DR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700651776",
            "telephone_number": "504-920-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "MELISSA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "213236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.