Individual provider Active NPI

Melissa Z Lusco, CRNA

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
National Provider Identifier
1376514166
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP02818 Issued in LA
Practice address
4950 Essen LN
Regional Eye Surgery Center
Baton Rouge, LA 70809-3432
Phone
(225) 214-6688
Fax
(225) 214-6687
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP02818 LA Primary

Addresses

Primary practice location

4950 Essen LN
Regional Eye Surgery Center
Baton Rouge, LA 70809-3432

Mailing address

PO Box 661495
Birmingham, AL 35266-1495
Phone (205) 979-5882

Other identifiers 2

IdentifierTypeStateIssuer
1687227MedicaidLA
P00409101OtherLARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050518000431 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224079405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2008 Accepting new patients
Louisiana Anesthesiology Group, L.L.C. Past Accepting new patients

Locations

7777 Hennessy Blvd
Ste 5000
Baton Rouge, LA 70808
Phone (225) 214-6688

4950 Essen Ln
Ste 300
Baton Rouge, LA 70809
Phone (225) 214-6688

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1376514166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661495",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352661495",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LN",
            "address_2": "REGIONAL EYE SURGERY CENTER",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093432",
            "telephone_number": "225-214-6688",
            "fax_number": "225-214-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSCO",
        "first_name": "MELISSA",
        "middle_name": "Z",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP02818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1687227",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00409101",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.