Active NPI
Melissa Yvon Fowler, PA-C
- Physician Assistant
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5747
- Practice address
- 2800 E Ajo Way
Suite 103
Tucson, AZ 85713-6204 - Phone
- (520) 694-4000
- NPI assigned
- Apr 9, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 5747 | AZ | Primary |
Addresses
Primary practice location
2800 E Ajo Way
Suite 103
Tucson, AZ 85713-6204
Mailing address
2800 E Ajo Way
Suite 103
Tucson, AZ 85713-6204
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141216001862 | AZ | Practitioner - Physician Assistant | 6608022884 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Arizona Arthritis and Rheumatology Associates P C
Practice addresses (Care Compare)
2300 S Houghton Rd
Suite 270
Tucson, AZ 85748-0002
Phone (480) 443-8400
4550 E Bell Rd
Phoenix, AZ 85032-9385
Phone (480) 443-8400
Hospital & facility affiliations
- Benson Hospital
- Canyon Vista Medical Center
- Mt. Graham Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5747 | AZ | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-City Express Care, PLLC | Current | Accepting new patients | |
| Arizona Arthritis and Rheumatology Associates | Current | Accepting new patients | |
| Banner-University Medical Group | Past | Accepting new patients |
Locations
495 N Pinal Pkwy
Ste 106
Florence, AZ 85132
Phone (520) 568-0573
890 W Elliot Rd
Ste 103
Gilbert, AZ 85233
Phone (480) 241-7564
415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661
4550 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (460) 443-8400
7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286
Interoperability endpoints
- melissa.fowler.p1@direct.aara.nextgenshare.com
Organizations & group practices 4
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.
-
- Rheumatology Physician
- Phoenix, AZ
- NPI 1366489254
AZ
-
- Rheumatology Physician
- Glendale, AZ
- NPI 1447730023
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1649554940
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1508809427
Hospital & facility affiliations 5
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": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1629334271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 E AJO WAY",
"address_2": "SUITE 103",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E AJO WAY",
"address_2": "SUITE 103",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136204",
"telephone_number": "520-694-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOWLER",
"first_name": "MELISSA",
"middle_name": "YVON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "5747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.