Individual provider Active NPI

Angela Melancon, FNP-C

  • Family Nurse Practitioner
  • Saint Martinville, LA
National Provider Identifier
1396678249
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209266 Issued in LA
Practice address
1103 Pecan Ridge Dr
Saint Martinville, LA 70582-7831
Phone
(337) 344-5713
NPI assigned
Jun 8, 2026
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 209266 LA Primary

Addresses

Primary practice location

1103 Pecan Ridge Dr
Saint Martinville, LA 70582-7831

Mailing address

1103 Pecan Ridge Dr
Saint Martinville, LA 70582-7831
Phone (337) 344-5713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209266LAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1396678249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 PECAN RIDGE DR",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705827831",
            "telephone_number": "337-344-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 PECAN RIDGE DR",
            "city": "SAINT MARTINVILLE",
            "state": "LA",
            "postal_code": "705827831",
            "telephone_number": "337-344-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "ANGELA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "209266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Martinville, LA

Sources for this page

Verify at the official NPI Registry.