Individual provider Active NPI

Melany Ann West, NP

  • Family Nurse Practitioner
  • Krotz Springs, LA
National Provider Identifier
1770667701
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
PA020404 Issued in LA
Practice address
216 Park St
Krotz Springs, LA 70750
Phone
(337) 566-2762
Fax
(337) 566-2766
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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 PA020404 LA Primary

Addresses

Primary practice location

216 Park St
Krotz Springs, LA 70750

Mailing address

2003 C C Bel Rd
Elton, LA 70532-5318
Phone (337) 584-1439

Other identifiers 1

IdentifierTypeStateIssuer
1559211MedicaidLA

Other names 1

  • Melany A. West Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181203000031 TX Practitioner - Nurse Practitioner 2961585369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coushatta Tribe of LouisianaGroup PAC ID 1557540952, 3 clinicians

Practice addresses (Care Compare)

2003 C C Bel Rd
Elton, LA 70532-5318
Phone (337) 584-1439

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA020404LAMDFamily Nurse Practitioner

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1770667701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 C C BEL RD",
            "city": "ELTON",
            "state": "LA",
            "postal_code": "705325318",
            "telephone_number": "337-584-1439",
            "fax_number": "337-584-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 PARK ST",
            "city": "KROTZ SPRINGS",
            "state": "LA",
            "postal_code": "70750",
            "telephone_number": "337-566-2762",
            "fax_number": "337-566-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "MELANY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "PA020404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1559211",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANY",
            "last_name": "WEST",
            "middle_name": "A.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Krotz Springs, LA

Sources for this page

Verify at the official NPI Registry.