Individual provider Active NPI

Melissa A Sarhan, APRN, AGACNP-BC

  • Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1366627663
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP10871 Issued in AZ
Practice address
16435 N Scottsdale Rd Ste 285
Scottsdale, AZ 85254-1680
Phone
(866) 849-0692
NPI assigned
Jan 4, 2008
Last updated
Jun 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10005041 OR
Nurse Practitioner 363L00000X 0101906 CO
Nurse Practitioner 363L00000X APRN-4491-0 HI
Nurse Practitioner 363L00000X AP10871 AZ Primary
Acute Care Nurse Practitioner 363LA2100X AP60045998 WA

Addresses

Primary practice location

16435 N Scottsdale Rd Ste 285
Scottsdale, AZ 85254-1680

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other practice location 1

12211 W Bell Rd Ste 205
Surprise, AZ 85378-9522
Phone (602) 492-1871

Other identifiers 4

IdentifierTypeStateIssuer
AP60045998OtherWAWASHINGTON STATE LICENSE
RN 60045697OtherWASTATE LICENSE
AP10871OtherAZCERTIFIED NURSE PRACTITIONER
9661430MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO, HI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180612001582 AZ Practitioner - Nurse Practitioner 9032292248 Reassigns benefits to 1 organization
I20240422003244 CO Practitioner - Nurse Practitioner 9032292248 Reassigns benefits to 1 organization
I20240424001419 HI Practitioner - Nurse Practitioner 9032292248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 2ND Ave
Suite 900
Seattle, WA 98101-3018

PO Box
Suite 211699
Eagan, MN 55121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101906COMDNurse Practitioner
APRN-4491-0HIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corner Health Medical Group P a CurrentSince Jul 1, 2024 Accepting new patients
Devoted Medical Group Inc CurrentSince Apr 11, 2024 Accepting new patients
Be Well Balanced Physical Therapy CurrentSince Apr 1, 2025 Accepting new patients
Advanced Practice Nurse Source, LLC Current Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients

Locations

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

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

221 Crescent St
Ste 202
Waltham, MA 02453
Phone (617) 958-1611

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": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1366627663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16435 N SCOTTSDALE RD STE 285",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541680",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12211 W Bell Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853789522",
            "country_code": "US",
            "telephone_number": "602-492-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARHAN",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "APRN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10005041",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0101906",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-4491-0",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10871",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP60045998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSE",
            "identifier": "AP60045998",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN 60045697",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER",
            "identifier": "AP10871",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9661430",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.