Active NPI
Melissa Bordelon LLC
- Psychiatric/Mental Health Nurse Practitioner
- Alexandria, LA
National Provider Identifier
1386532471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MELISSA BORDELON LLC
- Practice address
- 5920 Coliseum Blvd
Alexandria, LA 71303-3714 - Phone
- (318) 715-6116
- NPI assigned
- Jun 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa M Bordelon, NP
- Title
- NP
- Phone
- (318) 715-6116
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
5920 Coliseum Blvd
Alexandria, LA 71303-3714
Mailing address
1581 Highway 452
Marksville, LA 71351-3432
Phone (318) 715-6116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251017004329 | LA | Part B Supplier - Clinic/Group Practice | 7810485232 |
Receives reassigned benefits from 1 practitioner Practice locations: Alexandria, LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Alexandria, LA
- NPI 1891160529
LA, Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Alexandria, LA
- NPI 1568276343
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1386532471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1581 HIGHWAY 452",
"city": "MARKSVILLE",
"state": "LA",
"postal_code": "713513432",
"telephone_number": "318-715-6116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 COLISEUM BLVD",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033714",
"telephone_number": "318-715-6116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELISSA BORDELON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "BORDELON",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "318-715-6116",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.