Individual provider Active NPI

Deneisha McClelland

  • Psychiatric/Mental Health Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1831955103
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
211112 Issued in LA
Practice address
105 Regency PL
West Monroe, LA 71291-4453
Phone
(318) 398-0945
Fax
(318) 398-7154
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 211112 LA Primary

Addresses

Primary practice location

105 Regency PL
West Monroe, LA 71291-4453

Mailing address

105 Regency PL
West Monroe, LA 71291-4453

Other practice location 1

808 Main Street
Logansport, LA 71049-3667
Phone (318) 697-2273

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
I20250513003822 LA Practitioner - Nurse Practitioner 1254859242 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Regional Family Medicine CurrentSince May 1, 2025 Accepting new patients
Desoto Hospital Association CurrentSince May 1, 2025 Accepting new patients
Desoto Hospital Association Past Accepting new patients

Locations

130 Jefferson St
Mansfield, LA 71052
Phone (318) 872-2700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEDHAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1831955103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 REGENCY PL",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 REGENCY PL",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914453",
            "telephone_number": "318-398-0945",
            "fax_number": "318-398-7154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 MAIN STREET",
            "address_purpose": "LOCATION",
            "city": "LOGANSPORT",
            "state": "LA",
            "postal_code": "710493667",
            "country_code": "US",
            "telephone_number": "318-697-2273",
            "fax_number": "318-697-2277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAND",
        "first_name": "DENEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "211112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.