Individual provider Active NPI

Lisa G. Melek, FNP

  • Family Nurse Practitioner
  • Mandeville, LA
National Provider Identifier
1326097353
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04875 Issued in LA
Practice address
4042 Desoto St
Mandeville, LA 70471-1804
Phone
(985) 778-0023
NPI assigned
May 8, 2006
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 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 AP04875 LA Primary

Addresses

Primary practice location

4042 Desoto St
Mandeville, LA 70471-1804

Mailing address

4042 Desoto St
Mandeville, LA 70471-1804
Phone (985) 778-0023

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
I20061222000100 LA Practitioner - Nurse Practitioner 1254331291 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.75 of 100Reported as group
Quality
71.94
Promoting interoperability
100
Improvement activities
40
Cost
63.89

Merit-based Incentive Payment System (MIPS)

Final score
96.3 of 100Reported as group
Quality
85.77
Promoting interoperability
100
Improvement activities
40
Cost
68.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003816CTMDProfessional Counselor
AP04875LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulfsouth Hospital Medicine LLC CurrentSince Jul 1, 2018 Accepting new patients
Gulfsouth Pulmonology, LLC CurrentSince Aug 4, 2018 Accepting new patients
Pam Physician Enterprise CurrentSince Apr 14, 2024 Accepting new patients
Nni Covington LLC CurrentSince Feb 1, 2019 Accepting new patients
St Tammany Heart & Vascular Institute Family Past Accepting new patients

Locations

1970 N Highway 190
Covington, LA 70433
Phone (985) 400-5988

20050 Crestwood Blvd
Covington, LA 70433
Phone (225) 278-2015

Organizations & group practices 6

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1326097353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 DESOTO ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711804",
            "telephone_number": "985-778-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4042 DESOTO ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711804",
            "telephone_number": "985-778-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELEK",
        "first_name": "LISA",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.