Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melanie G. Petchak, NP-BC

Individual provider Family Nurse Practitioner · NPI 1336363845

Melanie G. Petchak, NP-BC is a Nurse Practitioner in Shreveport, Louisiana. Qualified in 2001, 25 years ago. Practices with Geriatric Nurse Practitioner Consultants Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
25
Licensed in
LA
In the registry since
2007
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Practice location Address checks out

7611 Saint Vincent Ave
Shreveport, LA 71106-4231
Phone: (318) 861-1671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APO3820 (LA)

Record details

NPI number1336363845
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-BC
Sole proprietorYes
NPI enumeratedApril 13, 2007
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Geriatric Nurse Practitioner Consultants Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shreveport