Active NPI
Tracy Melancon Fife, NPC
- Adult Health Nurse Practitioner
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP03216
- Practice address
- 1111 Medical Ctr. Blvd.
N-613
Marrero, LA 70072 - Phone
- (504) 349-6800
- Fax
- (504) 349-6621
- NPI assigned
- Aug 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN078784-AP03216 | LA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN078784-AP03216 | LA | |
| Adult Health Nurse Practitioner | 363LA2200X | AP03216 | LA | Primary |
Addresses
Primary practice location
1111 Medical Ctr. Blvd.
N-613
Marrero, LA 70072
Mailing address
1111 Medical Ctr. Blvd.
N-613
Marrero, LA 70072
Phone (504) 349-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1540315 | Medicaid | LA |
Other names 1
- Tracy Lynn Melancon
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- 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 (504) 349-2427
1101 Medical Ctr Blvd ER
Marrero, LA 70072-3147
Phone (504) 349-1533
4513 Westbank Expressway
Marrero, LA 70072
Phone (504) 349-6360
Hospital & facility affiliations
- West Jefferson Medical Center
- Ochsner Medical Center Acute
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- Quality
- 68.02
- Improvement activities
- 40
- Cost
- 76.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP03216 | LA | MD | Adult Health Nurse Practitioner |
| RN078784-AP03216 | LA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Orleans Physician Services Inc | Nurse Practitioner | Current | Accepting new patients |
| Heart Clinic of Louisiana Diagnostic Services, Apmc | Past | Accepting new patients | |
| Heart Clinic of Louisiana | Past | Accepting new patients | |
| East Jefferson Physicians Group LLC | Past | Accepting new patients |
Locations
120 Ochsner Blvd
Ste 410
Gretna, LA 70056
2845 Manhattan Blvd
Harvey, LA 70058
Phone (504) 349-6930
3909 Lapalco Blvd
Ste 200
Harvey, LA 70058
Phone (504) 349-6216
1111 Medical Center Blvd
#N61
Marrero, LA 70072
1111 Medical Center Blvd
Ste N613
Marrero, LA 70072
Phone (504) 349-6622
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1396169678
Nurse Practitioner
-
- Internal Medicine Physician
- New Orleans, LA
- NPI 1922293372
-
- General Practice Physician
- Marrero, LA
- NPI 1932165420
-
- Cardiovascular Disease Physician
- Marrero, LA
- NPI 1689630121
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
-
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1790977973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CTR. BLVD.",
"address_2": "N-613",
"city": "MARRERO",
"state": "LA",
"postal_code": "70072",
"telephone_number": "504-349-6800",
"fax_number": "504-349-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CTR. BLVD.",
"address_2": "N-613",
"city": "MARRERO",
"state": "LA",
"postal_code": "70072",
"telephone_number": "504-349-6800",
"fax_number": "504-349-6621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIFE",
"first_name": "TRACY",
"middle_name": "MELANCON",
"name_prefix": "Mrs.",
"credential": "NPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "RN078784-AP03216",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "LA",
"license": "RN078784-AP03216",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "LA",
"license": "AP03216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1540315",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "MELANCON",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.