Individual provider Active NPI

Melinda Shelley, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1063920320
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11202 Issued in AZ
Practice address
3489 S Mercy Rd Ste 101
Gilbert, AZ 85297-0431
Phone
(480) 646-8433
NPI assigned
Jan 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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 AP11202 AZ Primary

Addresses

Primary practice location

3489 S Mercy Rd Ste 101
Gilbert, AZ 85297-0431

Mailing address

3489 S Mercy Rd Ste 101
Gilbert, AZ 85297-0431
Phone (480) 646-8433

Other practice location 1

3501 S Mercy Rd
Gilbert, AZ 85297-0438
Phone (480) 646-8433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191126000430 TX Practitioner - Nurse Practitioner 1254686892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3042 W Queen Creek Rd
Hu Hu Kam Memorial Hospital
Chandler, AZ 85286-0038
Phone (602) 528-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11202AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gila River Health Care CurrentSince Sep 16, 2019 Accepting new patients
Gila River Health Care CurrentSince Sep 16, 2019 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Valley Heart Associates PC PastSince Jun 10, 2018 Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

Organizations & group practices 5

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 2

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": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1063920320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3489 S MERCY RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970431",
            "telephone_number": "480-646-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3489 S MERCY RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970431",
            "telephone_number": "480-646-8433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 S Mercy Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970438",
            "country_code": "US",
            "telephone_number": "480-646-8433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "MELINDA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.