MELANIE G. PETCHAK NP-BC
NPI 1336363845
Nurse Practitioner - Family in Shreveport, LA

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
7611 SAINT VINCENT AVE, SHREVEPORT, LA 71106(318) 861-1671 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melanie G. Petchak Np-bc NPPES

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

MELANIE G. PETCHAK NP-BC (NPI 1336363845) is an individual family provider in Shreveport, Louisiana, licensed in Louisiana (APO3820) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1336363845
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELANIE G. PETCHAKCredential: NP-BC
Location Address7611 SAINT VINCENT AVEShreveport, LA 71106-4231
Mailing Address1 Saint Mary PlShreveport, LA 71101-4343 · (318) 861-1671
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateApril 13, 2007
Last NPPES UpdateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
NPI 1336363845 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 · APO3820
7611 SAINT VINCENT AVE, Shreveport, LA 71106

Other Identifiers 1

Medicaid1166430LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Melanie G. Petchak Np-bc 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 ID4789110412
PECOS Enrollment IDI20241205000548
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71106 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
7611 SAINT VINCENT AVE
SHREVEPORT, LA 71106
Counselor (Professional)
7611 SAINT VINCENT AVE
SHREVEPORT, LA 71106
Clinic/Center (Federally Qualified Health Center (FQHC))
7611 SAINT VINCENT AVE
SHREVEPORT, LA 71106

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 Petchak's NPI number?

The NPI number for Melanie Petchak is 1336363845. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Melanie Petchak located?

Melanie Petchak practices at 7611 Saint Vincent Ave, Shreveport, LA 71106. The listed phone number is (318) 861-1671.

What is Melanie Petchak's specialty?

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

Is Melanie Petchak enrolled in Medicare?

Yes. Melanie Petchak 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.

What insurance does Melanie Petchak accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Melanie Petchak 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.

When was this NPI record last updated?

The NPPES record for Melanie Petchak was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.