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MELANIE WELCH NURSE PRACTITIONER
NPI 1184147787
Nurse Practitioner - Family in Elizabeth, LA

Active since July 25, 2017PECOS EnrolledAccepts Medicare Assignment
4855 HIGHWAY 10 STE C, ELIZABETH, LA 70638(800) 462-0742(318) 634-5602 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jun 17, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Melanie Welch Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANIE WELCH NURSE PRACTITIONER (NPI 1184147787) is an individual family provider in Elizabeth, Louisiana, licensed in Louisiana (AP09452) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Oakdale Community Hospital, and maintains a secondary practice location in Elizabeth.

NPPES Registry Identity

NPI1184147787
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELANIE WELCHCredential: NURSE PRACTITIONER
Location Address4855 HIGHWAY 10 STE CElizabeth, LA 70638-4800
Mailing Address4855 Highway 10 Ste CElizabeth, LA 70638-4800 · (800) 462-0742 · Fax (318) 634-5602
Phone(800) 462-0742
Fax(318) 634-5602
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 25, 2017
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1184147787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · AP09452
4855 HIGHWAY 10 STE C, Elizabeth, LA 70638
Open in Google Maps ↗

Other Names 1

Former Name (1)Melanie Thompson

Secondary Practice Location 1

Location 14855 Highway 10 Ste CElizabeth, LA 70638-4800 · Phone (800) 462-0742 · Fax (318) 717-1663

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Melanie Welch Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284907692
PECOS Enrollment IDI20170907000474
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Melanie Welch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clhg-Oakdale, LLC
5.1 mi
Family Medicine
400 E 6TH AVE
Oakdale, LA 71463
  • Reassigned Medicare billing, Louisiana enrollment
  • 52 clinicians in this Medicare group
NPI 1043565823 (318) 335-3501
Melanie Welch, Fnp, LLC
34 mi
Family
1420 BLANKENSHIP DR.
Deridder, LA 70634
  • Reassigned Medicare billing, Louisiana enrollment
NPI 1235638222 (337) 460-9472

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
32 services30 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Oakdale Community Hospital

Acute Care Hospitals · Oakdale, LA
OwnershipProprietary
CMS Certification Number190106
Location130 N Hospital DrOakdale, LA 71463 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70638 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
0%24 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
25%112 patients2/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
53%78 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
7%202 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%1,352 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%8,067 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
12%349 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%154 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
61%1,150 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%1,150 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%1,150 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
6%1,150 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers17 claims18 services$8.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melanie Welch's NPI number?

The NPI number for Melanie Welch is 1184147787. It was assigned to this individual provider in the NPPES registry on July 25, 2017. The provider is also known as Melanie Thompson.

Where is Melanie Welch located?

Melanie Welch practices at 4855 Highway 10 Ste C, Elizabeth, LA 70638. The listed phone number is (800) 462-0742.

What is Melanie Welch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Melanie Welch enrolled in Medicare?

Yes. Melanie Welch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Melanie Welch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Welch reassigns Medicare benefits to 2 organizations: Clhg-Oakdale, LLC (Oakdale, LA) and Melanie Welch, Fnp, LLC (Deridder, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melanie Welch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Welch accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Melanie Welch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Melanie Welch affiliated with any hospitals?

According to CMS data, Melanie Welch is affiliated with Oakdale Community Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Welch was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.