Melissa Martin Breaux, FNP-C
Individual provider Active NPI Nurse Practitioner · Opelousas, LA
NPI 1497000657 · NPPES record last updated Jun 20, 2013
Key facts
- NPI
- 1497000657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN063199/AP06875 (LA)
- Practice address
- 1233 Wayne Gilmore Circle
Suite 250-B
Opelousas, LA 70570-6405 - Phone
- (337) 407-1955
- Fax
- (337) 407-1956
- NPI assigned
- Jul 13, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pro-NP LLC
Practice addresses (Care Compare)
954 E Prudhomme St
Our Lady of Prompt Succor
Opelousas, LA 70570-8239
Phone (337) 948-3634
Hospital & facility affiliations
- Opelousas General Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121210000352 | LA | Practitioner - Nurse Practitioner | 9537311071 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN063199/AP06875 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro-NP LLC | Nurse Practitioner | Current |
Accepting new patients |
Locations
4000 Rodeo Rd
Abbeville, LA 70510
Phone (337) 684-2299
2305 Richard St
Abbeville, LA 70510
Phone (337) 892-9800
1201 3rd St
Gueydan, LA 70542
Phone (337) 232-0299
14008 Cheneau Rd
Kaplan, LA 70548
Phone (337) 643-1949
1005 Eraste Landry Rd
Lafayette, LA 70506
Phone (337) 232-6370
2500 E Simcoe St
Lafayette, LA 70501
Phone (337) 233-7115
2707 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 981-2258
954 E Prudhomme St
Opelousas, LA 70570
Phone (337) 772-9772
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN063199/AP06875 | LA | Yes |
Addresses
Primary practice location
1233 Wayne Gilmore Circle
Suite 250-B
Opelousas, LA 70570-6405
Mailing address
1233 Wayne Gilmore Circle
Ste 250-B
Opelousas, LA 70570-6405
Phone (337) 407-1955
Other names
- Mrs. Melissa Jane Miller
Other providers in Opelousas, LA
- Ladondra Kiante Bowles
- Brad Sibille LLC
- Laura Richard Braham
- Julissa Braimoh
- Emily Breaux
- BRN Inc.
- Brookshire Grocery Company
- Gannon G Brouillette
- Adeline Broussard
- Christopher Broussard
All providers in Opelousas, LA · Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.