Individual provider Active NPI

Violetta Melkum, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1730849845
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F11210503 Issued in AZ
Practice address
8763 E Bell Rd Ste 102
Scottsdale, AZ 85260-1318
Phone
(480) 927-3800
NPI assigned
Dec 30, 2021
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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 F11210503 AZ Primary

Addresses

Primary practice location

8763 E Bell Rd Ste 102
Scottsdale, AZ 85260-1318

Mailing address

8763 E Bell Rd Ste 102
Scottsdale, AZ 85260-1318
Phone (480) 927-3800

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL N/a

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
I20220701000564 AZ Practitioner - Nurse Practitioner 7618357013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Pain Consultants LLCGroup PAC ID 4284922204, 10 clinicians

Practice addresses (Care Compare)

2629 N Scottsdale Rd
Suite 200
Scottsdale, AZ 85257-1370
Phone (480) 626-2552

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F11210503AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Specialists, PLLC CurrentSince Apr 17, 2023 Accepting new patients
Integrated Pain Consultants, LLC CurrentSince Dec 1, 2024 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Apr 17, 2023 Accepting new patients

Locations

875 N Greenfield Rd
Ste 110
Gilbert, AZ 85234
Phone (480) 757-3693

5757 W Thunderbird Rd
Ste W310
Glendale, AZ 85306
Phone (602) 393-2450

4824 E Baseline Rd
Ste 140
Mesa, AZ 85206
Phone (480) 969-4040

2340 W Parkside Ln
Ste H107
Phoenix, AZ 85027
Phone (480) 245-6008

2629 N Scottsdale Rd
Ste 200
Scottsdale, AZ 85257
Phone (623) 277-5552

9500 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 210-6106

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

5576 S 1750 E
South Ogden, UT 84403
Phone (385) 238-4681

Interoperability endpoints

  • Direct secure messaging: violetta.melkum.1@32227.direct.athenahealth.com

Organizations & group practices 3

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": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1730849845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8763 E BELL RD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601318",
            "telephone_number": "480-927-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8763 E BELL RD STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601318",
            "telephone_number": "480-927-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELKUM",
        "first_name": "VIOLETTA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F11210503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/a",
            "affiliation": "N",
            "address_1": "13400 E Shea Blvd",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.