Active NPI
Melissa Gurule
- Psychiatric/Mental Health Nurse Practitioner
- Farmington, NM
National Provider Identifier
1487512646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 87500
- Practice address
- 4740 N Butler Ave
Farmington, NM 87401-0826 - Phone
- (505) 324-6300
- Fax
- (505) 327-2218
- NPI assigned
- Jan 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 87500 | NM | Primary |
Addresses
Primary practice location
4740 N Butler Ave
Farmington, NM 87401-0826
Mailing address
6405 S 3000 E Ste 300
Salt Lake City, UT 84121-6977
Phone (801) 266-3113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260203004193 | NM | Practitioner - Nurse Practitioner | 3476031097 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87500 | NM | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovation Medical Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
4740 N Butler Ave
Farmington, NM 87401
Phone (505) 324-6300
6405 S 3000 E
Ste 300
Salt Lake Cty, UT 84121
Phone (801) 266-5113
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 and National Provider Directory roles.
-
- Podiatrist
- Salt Lake City, UT
- NPI 1235526682
NM, Psychiatric/Mental Health
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
- Taylor G Wright PC
Practice addresses (Care Compare)
4740 N Butler Ave
Farmington, NM 87401-0826
Phone (505) 324-6300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1487512646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 S 3000 E STE 300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216977",
"telephone_number": "801-266-3113",
"fax_number": "801-266-5633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 N BUTLER AVE",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874010826",
"telephone_number": "505-324-6300",
"fax_number": "505-327-2218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURULE",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-14",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NM",
"license": "87500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.