Mrs Melanie Yvette Willis, FNP-C - Medicare Nurse Practitioner in Shreveport, LA

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Mrs Melanie Yvette Willis, FNP-C is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Shreveport, Louisiana. Her current practice location is 401 W 70th St, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 868-4552.

Mrs Melanie Yvette Willis is licensed to practice in Louisiana (license number AP226239) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902537947.

Contact Information

Mrs Melanie Yvette Willis, FNP-C
401 W 70th St,
Shreveport, LA 71106-3034
(318) 868-4552
Not Available

Map and Direction




Physician's Profile

Full NameMrs Melanie Yvette Willis
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location401 W 70th St, Shreveport, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902537947
  • Provider Enumeration Date: 06/21/2022
  • Last Update Date: 10/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6709260243
  • Enrollment ID: I20220831003174

Medical Identifiers

Medical identifiers for Mrs Melanie Yvette Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902537947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology AP226239 (Louisiana)Secondary
363LP0200XNurse Practitioner - Pediatrics AP226239 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Melanie Yvette Willis allows following entities to bill medicare on her behalf.
Entity NameDavid Raines Community Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215933254
PECOS PAC ID: 4688586118
Enrollment ID: O20041007000508
Entity NameMinden Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497986764
PECOS PAC ID: 4789720004
Enrollment ID: O20090930000103

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Melanie Yvette Willis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Melanie Yvette Willis, FNP-C
401 W 70th St,
Shreveport, LA 71106-3034

Ph: (318) 868-4552		Mrs Melanie Yvette Willis, FNP-C
401 W 70th St,
Shreveport, LA 71106-3034

Ph: (318) 868-4552

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.