Individual provider Active NPI

Melissa Martinez, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1437942828
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
328425 Issued in AZ
Practice address
9305 W Thomas Rd Ste 305
Phoenix, AZ 85037-3366
Phone
(623) 478-8000
Fax
(623) 478-8003
NPI assigned
May 28, 2025
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 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 328425 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd Ste 305
Phoenix, AZ 85037-3366

Mailing address

4565 N 153Rd LN
Goodyear, AZ 85395-6303
Phone (602) 451-9378

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
I20260212000336 AZ Practitioner - Nurse Practitioner 5395224026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Dermatology IncorporatedGroup PAC ID 5698846558, 13 clinicians

Practice addresses (Care Compare)

11851 N 51St Ave
Suite E130
Glendale, AZ 85304-2843
Phone (623) 299-9540

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
328425AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Dermatology Incorporated CurrentSince Dec 30, 2025 Accepting new patients

Locations

11851 N 51st Ave
Ste E130
Glendale, AZ 85304
Phone (623) 253-9814

4801 E McDowell Rd
Ste 150
Phoenix, AZ 85008
Phone (602) 954-3919

4840 E Indian School Rd
Ste 102
Phoenix, AZ 85018
Phone (602) 954-3919

9305 W Thomas Rd
Ste 305
Phoenix, AZ 85037
Phone (623) 271-9323

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6619/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1437942828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 N 153RD LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853956303",
            "telephone_number": "602-451-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373366",
            "telephone_number": "623-478-8000",
            "fax_number": "623-478-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "328425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.