Individual provider Active NPI

Melissa Gondolfo Percle, APRN-CNP

  • Nurse Practitioner
  • Chalmette, LA
National Provider Identifier
1952967507
Registry record updated May 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
203906 Issued in LA
Practice address
8050 W Judge Perez Dr Ste 3200
Chalmette, LA 70043-1741
Phone
(504) 493-2200
NPI assigned
May 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 203906 LA Primary

Addresses

Primary practice location

8050 W Judge Perez Dr Ste 3200
Chalmette, LA 70043-1741

Mailing address

5821 W End Blvd
New Orleans, LA 70124-1931
Phone (504) 723-5297

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
I20190920000804 LA Practitioner - Nurse Practitioner 8921338708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

8050 W Judge Perez Dr
Ochsner Health Center St Bernard
Chalmette, LA 70043-1734
Phone (504) 304-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203906LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 19, 2019 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 19, 2019 Accepting new patients

Locations

8050 W Judge Perez Dr
Ste 3200
Chalmette, LA 70043
Phone (504) 309-8615

8050 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 304-2800

1514 Jefferson Hwy
New Orleans, LA 70121

Interoperability endpoints

  • Direct secure messaging: mpercle237171@direct.ochsner.org

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.

Hospital & facility affiliations 2

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": "1558137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558137600000",
    "number": "1952967507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 W END BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241931",
            "telephone_number": "504-723-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 W JUDGE PEREZ DR STE 3200",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700431741",
            "telephone_number": "504-493-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCLE",
        "first_name": "MELISSA",
        "middle_name": "GONDOLFO",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-18",
        "last_updated": "2019-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "203906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chalmette, LA

Sources for this page

Verify at the official NPI Registry.