Individual provider Active NPI

Melissa L. Pennebaker, NP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1629205315
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP03897 Issued in LA
Practice address
3525 Prytania St
Suite 302
New Orleans, LA 70115-3500
Phone
(504) 897-8970
Fax
(504) 897-8777
NPI assigned
Jun 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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 AP03897 LA Primary

Addresses

Primary practice location

3525 Prytania St
Suite 302
New Orleans, LA 70115-3500

Mailing address

3525 Prytania St
Suite 302
New Orleans, LA 70115-3500

Other identifiers 1

IdentifierTypeStateIssuer
1893528MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090723000535 LA Practitioner - Nurse Practitioner 0143372094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

3434 Prytania St
Suite 410
New Orleans, LA 70115-3574
Phone (504) 325-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Physicians, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Curana Health of Louisiana LLC Past Accepting new patients

Locations

701 Metairie Rd
Ste 2A202
Metairie, LA 70005
Phone (504) 833-9440

3525 Prytania St
Ste 302
New Orleans, LA 70115
Phone (504) 897-8970

3434 Prytania St
Ste 110
New Orleans, LA 70115
Phone (504) 897-7007

3434 Prytania St
Ste 410
New Orleans, LA 70115
Phone (504) 325-2900

3700 Saint Charles Ave
Ste 300
New Orleans, LA 70115

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

1401 Foucher St
Fl First
New Orleans, LA 70115

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1629205315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "SUITE 302",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "SUITE 302",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153500",
            "telephone_number": "504-897-8970",
            "fax_number": "504-897-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNEBAKER",
        "first_name": "MELISSA",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-19",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP03897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1893528",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.