Melissa Kivisto, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

317137 Issued in AZ

Practice address

2132 E. Ocotillo Rd.
Queen Creek, AZ 85142

Phone

(480) 577-2600

NPI assigned

Oct 10, 2024

Last updated

Mar 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Wound Care Services LLCGroup PAC ID 8628586187, 7 clinicians

Primary Care Practice of Arizona PLLCGroup PAC ID 4183963515, 27 clinicians

Pain and Palliative Associates of ArizonaGroup PAC ID 9638408487, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Alliance Wound Care Services PLLC

  • Nurse Practitioner
  • Surprise, AZ
  • NPI 1083406722
  Medicare reassignment Care Compare group NPD
• Pain and Palliative Associates of Arizona

  • Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1538723531
  Medicare reassignment Care Compare group NPD
• Primary Care Practice of Arizona, PLLC

  dba Gateway Urgent Care

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1265904247
  Medicare reassignment Care Compare group NPD
• Primary Care Practice of Arizona, PLLC

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1023970704
  NPD
• Primary Care Practice of Arizona, PLLC

  dba Gateway Urgent Care

  • Urgent Care Clinic/Center
  • Gilbert, AZ
  • NPI 1649967647
  NPD
• Valley Geriatric Associates PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1063127306
  NPD
• Nexus Consultants PLLC

  • Family Medicine Physician
  • Olympia, WA
  • NPI 1245970938
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1649099177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9603 E THUNDERBOLT AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852126442",
            "telephone_number": "480-577-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 E. OCOTILLO RD.",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "85142",
            "telephone_number": "480-577-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIVISTO",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "317137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dae Woong Kim
• Kindred Midwifery and Wellness LLC (Kindred Midwifery and Wellness)
• Mercy Kinyanjui
• Kirk T Reed O D P C
• Kelly Lynne Kiser, NNP
• Michelle Marie Klym, B.S., SLP-A
• Meghan Knife, PHARM.D.
• Alfred Knight
• Laura Kobar, MS, MC, LPC
• Stephanie Deborah Kotsur, NP

• Family Nurse Practitioner in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.

Verify at the official NPI Registry.