Individual provider Active NPI

Melissa Perera Lebrun, FNP-C

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1922386879
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139987 Issued in TX
Practice address
9722 Great Hills TRL Ste 375
Austin, TX 78759-7263
Phone
(512) 910-3932
Fax
(888) 972-1912
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP06496 LA
Family Nurse Practitioner 363LF0000X AP139987 TX Primary

Addresses

Primary practice location

9722 Great Hills TRL Ste 375
Austin, TX 78759-7263

Mailing address

17052 Hunters Trce E
Prairieville, LA 70769-4839
Phone (225) 939-0050

Other practice location 1

214 S Burnside Ave Ste A
Gonzales, LA 70737-3463
Phone (225) 647-6636

Other names 1

  • Melissa Jane Perera Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111219000745 LA Practitioner - Nurse Practitioner 6406021567 Reassigns benefits to 5 organizations
I20240530003502 TX Practitioner - Nurse Practitioner 6406021567 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Emergency Medicine of Louisiana Inc CurrentSince Sep 4, 2019 Accepting new patients
Red Stick Emergency Group LLC CurrentSince Dec 1, 2011 Accepting new patients
Professional Emergency Medicine Management -- Lake Charles LLC CurrentSince Jun 1, 2018 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince May 16, 2024 Accepting new patients
Calcasieu Cameron Emergency Physician Group LLC CurrentSince Apr 1, 2015 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince May 16, 2024 Accepting new patients
University of Utah Emergency Physicians Past Accepting new patients

Locations

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

9722 Great Hills Trl
Ste 375
Austin, TX 78759
Phone (512) 240-9498

17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856

19220 S Ih 35
Ste 300
Kyle, TX 78640
Phone (737) 265-3964

Organizations & group practices 8

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": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1922386879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17052 HUNTERS TRCE E",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694839",
            "telephone_number": "225-939-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9722 GREAT HILLS TRL STE 375",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597263",
            "telephone_number": "512-910-3932",
            "fax_number": "888-972-1912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 S Burnside Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707373463",
            "country_code": "US",
            "telephone_number": "225-647-6636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBRUN",
        "first_name": "MELISSA",
        "middle_name": "PERERA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06496",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PERERA",
            "middle_name": "JANE",
            "credential": "FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.