Individual provider Active NPI

Melanie Noel Hernandez, FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1174018220
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11472 Issued in AZ
Practice address
17063 W Greenway Rd # 102
Surprise, AZ 85388-9605
Phone
(480) 677-8282
Fax
(844) 470-2777
NPI assigned
Jun 29, 2018
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 AP11472 AZ Primary

Addresses

Primary practice location

17063 W Greenway Rd # 102
Surprise, AZ 85388-9605

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other identifiers 1

IdentifierTypeStateIssuer
405899MedicaidAZ

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
I20181214002950 AZ Practitioner - Nurse Practitioner 4284983222 Reassigns benefits to 3 organizations

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
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

Practice addresses (Care Compare)

2640 W Baseline Rd
Suite 111
Phoenix, AZ 85041-6492
Phone (480) 677-8282

Merit-based Incentive Payment System (MIPS)

Final score
29.23 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
77.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11472AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Jan 28, 2025 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
G & K Medical Associates, P.C. CurrentSince Sep 29, 2018 Accepting new patients
Community Primary Care LLC CurrentSince Mar 1, 2022 Accepting new patients
Good Health Medical, PLLC CurrentSince Jan 28, 2025 Accepting new patients
Good Health Medical, PLLC Past Accepting new patients

Locations

10450 W McDowell Rd
Ste 101
Avondale, AZ 85392
Phone (623) 337-8811

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

18301 N 79th Ave
Ste C135
Glendale, AZ 85308
Phone (602) 633-2247

10613 W Olive Ave
Ste 200
Peoria, AZ 85345

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

13624 W Camino del Sol
Sun City West, AZ 85375
Phone (623) 214-1717

13624 W Camino del Sol
Ste 150
Sun City West, AZ 85375
Phone (623) 546-0203

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
  • Direct secure messaging: melanie.hernandez@gandkmed.directbygreenway.com

Organizations & group practices 6

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1174018220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17063 W GREENWAY RD # 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853889605",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MELANIE",
        "middle_name": "NOEL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405899",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.