Mellisa Kerchief, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

226644 Issued in AZ

Practice address

6296 E Grant Rd Ste 140
Tucson, AZ 85712-5876

Phone

(520) 298-3321

Fax

(520) 867-6721

NPI assigned

Jul 16, 2019

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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 and National Provider Directory roles.

• Southern Arizona Urgent Care LLC

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1285994004
  Medicare reassignment NPD
• Southern Arizona Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1386003788
  NPD
• Southern Arizona Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1689039398
  NPD
• Bacchus PC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1134628480
  NPD (past)

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1770136004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950",
            "fax_number": "702-786-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6296 E GRANT RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125876",
            "telephone_number": "520-298-3321",
            "fax_number": "520-867-6721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 E 10th St",
            "address_purpose": "LOCATION",
            "city": "Douglas",
            "state": "AZ",
            "postal_code": "856072745",
            "country_code": "US",
            "telephone_number": "520-850-8959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERCHIEF",
        "first_name": "MELLISA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "226644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenworthy Chiropractic & Wellness LLC
• Aminata Mohammed Kenyawani, SLPA
• Alexandra Gruner Keogh, M.D.
• Ajay Pravin Kerai, MD
• Rachel Keranen, PMHNP-BC
• Ashley Kern, MD
• Karl B Kern, MD
• Morgan Ann Kern, M.S., CF-SLP
• Katie Kernodle, M.A.
• Andres Kerns, PH.D.

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, 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 Jun 25, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.