Individual provider Active NPI

Jacqueline Melancon, FNP

  • Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1982490470
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
239999 Issued in LA
Practice address
929 Natchez Blvd
Opelousas, LA 70570-7634
Phone
(337) 793-6032
NPI assigned
Apr 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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 239999 LA Primary

Addresses

Primary practice location

929 Natchez Blvd
Opelousas, LA 70570-7634

Mailing address

929 Natchez Blvd
Opelousas, LA 70570-7634
Phone (337) 793-6032

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
I20260401000534 LA Practitioner - Nurse Practitioner 0345725925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinder Clinic LLCGroup PAC ID 4486149366, 3 clinicians

Practice addresses (Care Compare)

109 1St Ave
Kinder, LA 70648-3512
Phone (337) 205-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
239999LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kinder Clinic LLC CurrentSince Sep 8, 2025 Accepting new patients
Kinder Clinic LLC PastSince Feb 21, 2026 Accepting new patients

Locations

109 1st Ave
Kinder, LA 70648
Phone (337) 205-2301

Organizations & group practices 2

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": "1745020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1982490470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 NATCHEZ BLVD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705707634",
            "telephone_number": "337-793-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 NATCHEZ BLVD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705707634",
            "telephone_number": "337-793-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELANCON",
        "first_name": "JACQUELINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "239999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.