Melanie Neztsosie, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP5195 Issued in AZ

Practice address

Arizona Highway 264 and Highway 191 South
Sage Memorial Hospital
Ganado, AZ 86505-0457

Phone

(928) 755-4500

NPI assigned

Feb 9, 2007

Last updated

Nov 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Melanie Neztsosie Other name

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Navajo Health Foundation-Sage Memorial Hospital, Inc.Group PAC ID 2163332347, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sage Memorial Hospital Hospital, Ganado, AZ, CCN 031309

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Navajo Health Foundation-Sage Memorial Hospital, Inc.

  dba Sage Memorial Physicians

  • Rural Acute Care Hospital
  • Ganado, AZ
  • NPI 1477735777
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Navajo Health Foundation-Sage Memorial Hospital Inc

  dba Sage Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Ganado, AZ
  • NPI 1518957398
  Care Compare affiliation

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1689715955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "address_2": "SAGE MEMORIAL HOSPITAL",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "865050457",
            "telephone_number": "928-755-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ARIZONA HIGHWAY 264 AND HIGHWAY 191 SOUTH",
            "address_2": "SAGE MEMORIAL HOSPITAL",
            "city": "GANADO",
            "state": "AZ",
            "postal_code": "865050457",
            "telephone_number": "928-755-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZTSOSIE",
        "first_name": "MELANIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5195",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN118177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "NEZTSOSIE",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Navajo Health Foundation-Sage Memorial Hospital, Inc. (Sage Memorial Hospital NEMT Services)
• Navajo Health Foundation-Sage Memorial Hospital, Inc. (Sage Memorial Physicians)
• Navajo Health Foundation-Sage Memorial Hospital, Inc. (Sage Outpatient Clinic)
• Matthew Nelson, DO
• Richie Nez Sr.
• Ellen Ouellette, MD
• Susai Benije Pannir Selvam
• Muriel E Rosenfeld, PMHNP
• Sage Memorial Hospital
• Sage Memorial Hospital Behavioral Health Clinic

• Family Nurse Practitioner in Ganado, AZ
• Providers in Ganado, 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 Nov 13, 2013; 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.