Individual provider Active NPI

Melissa Lawrence, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Cottonwood, AZ
National Provider Identifier
1053073163
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
265260 Issued in AZ
Practice address
8 E Cottonwood St
Cottonwood, AZ 86326-4382
Phone
(877) 634-7333
Fax
(866) 984-3891
NPI assigned
Oct 6, 2021
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 265260 AZ Primary

Addresses

Primary practice location

8 E Cottonwood St
Cottonwood, AZ 86326-4382

Mailing address

8 E Cottonwood St
Cottonwood, AZ 86326-4382
Phone (877) 634-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211111000570 AZ Practitioner - Nurse Practitioner 8820487937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectrum Healthcare Group IncGroup PAC ID 3072411388, 21 clinicians

Practice addresses (Care Compare)

3274 Bob Dr
Prescott Valley, AZ 86314-8640
Phone (877) 634-7333

3633 Crossings Dr
Prescott, AZ 86305-7101
Phone (877) 634-7333

8 E Cottonwood St
Cottonwood, AZ 86326-6237
Phone (877) 634-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recovia LLC CurrentSince Oct 18, 2021 Accepting new patients
Spectrum Healthcare Group, Inc. CurrentSince Jan 27, 2024 Accepting new patients
Spectrum Healthcare Group, Inc. Family Current Accepting new patients
Spectrum Healthcare Group, Inc CurrentSince Jan 27, 2024 Accepting new patients

Locations

8 E Cottonwood St
Cottonwood, AZ 86326
Phone (928) 203-5404

8 E Cottonwood St
Bldg A
Cottonwood, AZ 86326
Phone (928) 203-5404

8 E Cottonwood St
Bldg C
Cottonwood, AZ 86326
Phone (928) 203-5400

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

6553 E Baywood Ave
Ste 209
Mesa, AZ 85206
Phone (480) 985-8478

19636 N 27th Ave
Ste 106
Phoenix, AZ 85027
Phone (480) 416-7200

2411 W Northern Ave
Ste 201
Phoenix, AZ 85021
Phone (602) 441-1750

337 E Coronado Rd
Ste 201
Phoenix, AZ 85004
Phone (602) 252-8081

990 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 778-7823

8322 E Hartford Dr
Ste 100
Scottsdale, AZ 85255

1910 E Southern Ave
Tempe, AZ 85282
Phone (480) 219-7178

1200 N Country Club Rd
Tucson, AZ 85716
Phone (520) 770-1197

6060 N Fountain Plaza Dr
Ste 140
Tucson, AZ 85704

Interoperability endpoints

  • Direct secure messaging: melissa.lawrence.p1@direct.spectrumhg.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1053073163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E COTTONWOOD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264382",
            "telephone_number": "877-634-7333",
            "fax_number": "866-984-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 E COTTONWOOD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264382",
            "telephone_number": "877-634-7333",
            "fax_number": "866-984-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "265260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottonwood, AZ

Sources for this page

Verify at the official NPI Registry.