Individual provider Active NPI

Melissa Velasquez

  • Family Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1063240646
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229882 Issued in AR
Practice address
6636 W Sunset Ave Ste a
Springdale, AR 72762-0971
Phone
(479) 361-4631
NPI assigned
Jul 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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 229882 AR Primary

Addresses

Primary practice location

6636 W Sunset Ave Ste a
Springdale, AR 72762-0971

Mailing address

2040 W Hudson Rd
Rogers, AR 72756-2334
Phone (479) 250-8672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Franklin, TN 37068

Hospital & facility affiliations

  • Northwest Medical Center-Springdale Hospital, Springdale, AR, CCN 040022

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients
Northwest Physicians LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

6636 W Sunset Ave
Ste A
Springdale, AR 72762
Phone (479) 361-4631

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

Interoperability endpoints

  • Direct secure messaging: melissa.velasquez.1@2229.direct.athenahealth.com
  • Direct secure messaging: melissa.velasquez.2@2229.direct.athenahealth.com

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1063240646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 W HUDSON RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562334",
            "telephone_number": "479-250-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 W SUNSET AVE STE A",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620971",
            "telephone_number": "479-361-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "229882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.