Elizabeth Nance Melancon, MSN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Geismar, LA
NPI 1841225596 · NPPES record last updated Mar 18, 2016
Key facts
- NPI
- 1841225596
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN 079737 AP04815 (LA)
- Practice address
- 13201 Highway 73 Ste 102
Geismar, LA 70734-3091 - Phone
- (225) 673-2088
- Fax
- (225) 673-2080
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Healthremede, LLC
Practice addresses (Care Compare)
13201 Hwy 73
Suite 102
Geismar, LA 70734-3091
Phone (225) 673-2088
3235 Perkins Rd
Baton Rouge, LA 70808-2256
Phone (225) 387-3030
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120326000386 | LA | Practitioner - Nurse Practitioner | 2961662135 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 079737 AP04815 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge General Physicians, Inc. | Current |
Accepting new patients | |
| Baton Rouge General Physicians, Inc. | Current |
Accepting new patients | |
| The Wellness Studio, LLC | Past | Accepting new patients |
Locations
3401 North Blvd
Ste 130
Baton Rouge, LA 70806
Phone (225) 381-2789
3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
3604 Nicholson Dr
Baton Rouge, LA 70802
Phone (225) 831-4030
14105 Highway 73
Ste 200
Prairieville, LA 70769
Phone (225) 588-1753
Interoperability endpoints
- lmelancon5182333@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN 079737 AP04815 | LA | Yes |
Addresses
Primary practice location
13201 Highway 73 Ste 102
Geismar, LA 70734-3091
Mailing address
13201 Highway 73 Ste 102
Geismar, LA 70734-3091
Phone (225) 673-2088
Other providers in Geismar, LA
- Christie Klingman
- Leo Paul Leblanc III
- Tina Leslie-Watson
- Louisiana Internal Medicine Associates, LLC
- Tammi E Marshall
- Mending Minds Behavioral Health, LLC
- Hisham Nazir Mohamed
- Kent McKowen Morris
- Han Ngoc Nguyen
- Quoc Bao Paul Nguyen
All providers in Geismar, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.