Individual provider Active NPI

Melissa Ann Vallet, FNP-C

  • Family Nurse Practitioner
  • Ville Platte, LA
National Provider Identifier
1750698148
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO6279 Issued in LA
Practice address
420 Jack Miller Road
Ville Platte, LA 70586
Phone
(337) 363-5334
Fax
(337) 363-2624
NPI assigned
Sep 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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 APO6279 LA Primary

Addresses

Primary practice location

420 Jack Miller Road
Ville Platte, LA 70586

Mailing address

420 Jack Miller Road
Ville Platte, LA 70586-5600
Phone (337) 363-5334

Other identifiers 1

IdentifierTypeStateIssuer
APO6279OtherLASTATE FNP LICENSE

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
I20130820000025 LA Practitioner - Nurse Practitioner 1557503661 Reassigns benefits to 1 organization
Practice locations: Ville Platte, LA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 Jack Miller Rd
Ville Platte, LA 70586-5651
Phone (337) 363-5334

Hospital & facility affiliations

  • Mercy Regional Medical Center Hospital, Ville Platte, LA, CCN 190167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO6279LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Family Practitioners LLC CurrentSince Sep 19, 2017 Accepting new patients

Locations

2104 Cleco St
Mansura, LA 71350
Phone (318) 964-2551

504 Jack Miller Rd
Ste 2
Ville Platte, LA 70586
Phone (337) 363-5334

420 Jack Miller Rd
Ville Platte, LA 70586
Phone (337) 363-5334

Interoperability endpoints

  • Direct secure messaging: melissa.vallet.1@10412.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Evangeline Family HealthcareVille Platte, LA, CCN 193930 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)
Sep 19, 2017
Jan 1, 2015
Jan 1, 2015
Jan 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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 1

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": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1750698148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 JACK MILLER ROAD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705865600",
            "telephone_number": "337-363-5334",
            "fax_number": "337-363-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 JACK MILLER ROAD",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "70586",
            "telephone_number": "337-363-5334",
            "fax_number": "337-363-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLET",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2021-10-01",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO6279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE FNP LICENSE",
            "identifier": "APO6279",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

Verify at the official NPI Registry.