Individual provider Active NPI

Melissa Ilene Morales, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1104306026
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11583 Issued in AZ
Practice address
4831 N 11TH St
Phoenix, AZ 85014-3681
Phone
(602) 424-2101
NPI assigned
Aug 20, 2018
Last updated
Aug 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 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 AP11583 AZ Primary

Addresses

Primary practice location

4831 N 11TH St
Phoenix, AZ 85014-3681

Mailing address

2853 E Birchwood PL
Chandler, AZ 85249-3559
Phone (520) 840-1888

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
I20190320002292 AZ Practitioner - Nurse Practitioner 9537409065 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Loop 101 Emergency Physicians LLCGroup PAC ID 0840295481, 53 clinicians
Emcare - PNX Emergency Physicians LLCGroup PAC ID 3779574165, 66 clinicians

Practice addresses (Care Compare)

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (954) 939-5000

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (954) 939-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Mar 1, 2019 Accepting new patients
District Medical Group, Inc Single Specialty Current Accepting new patients
Loop 101 Emergency Physicians LLC Single Specialty CurrentSince Aug 3, 2020 Accepting new patients
Honorhealth CurrentSince Nov 23, 2022 Accepting new patients
303 Emergency Physicians PLLC Single Specialty CurrentSince Aug 3, 2020 Accepting new patients
Honorhealth Single Specialty Current Accepting new patients
Honorhealth CurrentSince Nov 23, 2022 Accepting new patients
Emcare - PNX Emergency Physicians LLC Single Specialty CurrentSince Aug 3, 2020 Accepting new patients
Health Care Solutions Centers, LLC Single Specialty Past Accepting new patients
District Medical Group, Inc Single Specialty Past Accepting new patients

Locations

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

33423 N 32nd Ave
Phoenix, AZ 85085
Phone (623) 474-1600

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

16575 W Waddell Rd
Surprise, AZ 85388
Phone (623) 300-9110

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1104306026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 E BIRCHWOOD PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852493559",
            "telephone_number": "520-840-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 N 11TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143681",
            "telephone_number": "602-424-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "MELISSA",
        "middle_name": "ILENE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.