MRS. MELANIE YVETTE WILLIS FNP-C
NPI 1902537947
Nurse Practitioner - Pediatrics in Shreveport, LA
About Mrs. Melanie Yvette Willis Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MELANIE YVETTE WILLIS FNP-C (NPI 1902537947) is an individual pediatrics provider in Shreveport, Louisiana, licensed in Louisiana (AP226239) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Minden.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Melanie Yvette Willis Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Melanie Willis reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shreveport, LA 71106
- Reassigned Medicare billing, Louisiana enrollment
- 70 clinicians in this Medicare group
Minden, LA 71055
- Reassigned Medicare billing, Louisiana enrollment
- 83 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Louisiana enrollment
- 439 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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 Willis's NPI number?
The NPI number for Melanie Willis is 1902537947. It was assigned to this individual provider in the NPPES registry on June 21, 2022.
Where is Melanie Willis located?
Melanie Willis practices at 401 W 70th St, Shreveport, LA 71106. The listed phone number is (318) 868-4552.
What is Melanie Willis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Melanie Willis enrolled in Medicare?
Yes. Melanie Willis is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Melanie Willis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Willis reassigns Medicare benefits to 3 organizations: David Raines Community Health Center, Inc. (Shreveport, LA), Minden Physician Practices LLC (Minden, LA) and Signify Health, LLC (Dallas, TX). 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 Willis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Melanie Willis was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Melanie Yvette Willis, FNP-C · NPI 1902537947
Pediatrics physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since June 21, 2022.
## Identity
- **NPI:** 1902537947 (Entity type: Individual)
- **Enumerated:** June 21, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP226239 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 401 W 70TH ST, Shreveport, LA 71106-3034
- **Phone:** (318) 868-4552
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): David Raines Community Health Center, Inc. (NPI 1760904981, Shreveport, LA); Minden Physician Practices LLC (NPI 1265777957, Minden, LA); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1902537947) · Data from the CMS NPPES public registry.