Active NPI
Dean Jeffrey Melancon Jr., CRNA
- Certified Registered Nurse Anesthetist
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN100707
- Practice address
- 3510 N Causeway Blvd
Metairie, LA 70002-3531 - Phone
- (504) 779-5568
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN100707 | LA | Primary |
Addresses
Primary practice location
3510 N Causeway Blvd
Metairie, LA 70002-3531
Mailing address
744 W Michigan Ave
Jackson, MI 49201-1909
Phone (517) 787-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone 8662148600203
Hospital & facility affiliations
- East Jefferson General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN100707 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Hospital Anesthesia Corporation | Current | Accepting new patients | |
| Parish Anesthesia Associates, LTD Apmc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| The Capital City Anesthesia Group, LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- New Orleans, LA
- NPI 1649362740
-
- Certified Registered Nurse Anesthetist
- Metairie, LA
- NPI 1942252150
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Baton Rouge, LA
- NPI 1245282466
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1619904893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492011909",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 N CAUSEWAY BLVD",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023531",
"telephone_number": "504-779-5568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELANCON",
"first_name": "DEAN",
"middle_name": "JEFFREY",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN100707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.