Individual provider Active NPI

Nicole Renee Melancon, NP

  • Nurse Practitioner
  • Covington, LA
National Provider Identifier
1285125880
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP10039 Issued in LA
Practice address
73015 La 25
Ste a
Covington, LA 70435
Phone
(985) 400-5370
NPI assigned
May 21, 2018
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP10039 LA Primary
Family Nurse Practitioner 363LF0000X AP10039 LA

Addresses

Primary practice location

73015 La 25
Ste a
Covington, LA 70435

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

34396 Quarter Horse Ln
Walker, LA 70785-4541
Phone (225) 335-9997

Other practice location 2

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 384-2200

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
I20180912001588 LA Practitioner - Nurse Practitioner 2264782200 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians
Total Health Urgent CareGroup PAC ID 0547677858, 5 clinicians

Practice addresses (Care Compare)

34807 La Hwy 16
Denham Springs, LA 70706-0669
Phone (225) 269-9223

73015 Hwy 25
Suite a
Covington, LA 70435-5694
Phone (985) 400-5370

Merit-based Incentive Payment System (MIPS)

Final score
99.76 of 100Reported as group
Quality
87.95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10039LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
St Mary Emergency Group LLC Nurse Practitioner CurrentSince Jul 28, 2018 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Maxem Health Urgent Care Hammond CurrentSince Sep 29, 2020 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 22, 2025 Accepting new patients
Maxem Health Urgent Care Slidell CurrentSince Sep 29, 2020 Accepting new patients
Total Health Urgent Care CurrentSince Aug 23, 2024 Accepting new patients
Mayfair Emergency Group, LLC Nurse Practitioner CurrentSince Jan 9, 2021 Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

73015 Highway 25
Ste A
Covington, LA 70435
Phone (985) 246-2420

34807 LA Highway 16
Denham Springs, LA 70706
Phone (225) 269-9223

2741 W Thomas St
Ste A
Hammond, LA 70401
Phone (985) 542-2299

200 Corporate Blvd
Lafayette, LA 70508

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

170 Northshore Blvd
Slidell, LA 70460
Phone (985) 641-1228

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1285125880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73015 LA 25",
            "address_2": "STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70435",
            "telephone_number": "985-400-5370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34396 Quarter Horse Ln",
            "address_purpose": "LOCATION",
            "city": "Walker",
            "state": "LA",
            "postal_code": "707854541",
            "country_code": "US",
            "telephone_number": "225-335-9997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Marguerite St",
            "address_purpose": "LOCATION",
            "city": "Morgan City",
            "state": "LA",
            "postal_code": "70380",
            "country_code": "US",
            "telephone_number": "985-384-2200",
            "fax_number": "985-380-4344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP10039",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.