Individual provider Active NPI

Melanie Fern Anderson, AGPCNP-C

  • Gerontology Nurse Practitioner
  • Sun City West, AZ
National Provider Identifier
1770397259
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
252062 Issued in AZ
Practice address
14300 W Granite Valley Dr Ste E23
Sun City West, AZ 85375-5798
Phone
(623) 975-0500
Fax
(623) 975-0705
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 252062 AZ Primary
Pulmonary Disease Physician 207RP1001X 252062 AZ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 252062 AZ

Addresses

Primary practice location

14300 W Granite Valley Dr Ste E23
Sun City West, AZ 85375-5798

Mailing address

14300 W Granite Valley Dr Ste E23
Sun City West, AZ 85375-5798
Phone (623) 975-0500

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
I20250221000244 AZ Practitioner - Nurse Practitioner 6406865492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Craig M Rundbaken DO PLLCGroup PAC ID 8628982741, 11 clinicians

Practice addresses (Care Compare)

14300 W Granite Valley Dr
Suite E23
Sun City West, AZ 85375-5798
Phone (623) 975-0500

Hospital & facility affiliations

  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
  • Wickenburg Community Hospital Hospital, Wickenburg, AZ, CCN 031300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252062AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Pulmonary and Critical Care PLLC Pulmonary Disease CurrentSince Feb 10, 2025 Accepting new patients
Craig M. Rundbaken, D.O. PLLC Pulmonary Disease CurrentSince Feb 10, 2025 Accepting new patients
Good Night Sleep Services, LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

9515 W Camelback Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 322-7856

14300 W Granite Valley Dr
Ste E23
Sun City West, AZ 85375
Phone (623) 975-0500

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1770397259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 W GRANITE VALLEY DR STE E23",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755798",
            "telephone_number": "623-975-0500",
            "fax_number": "623-975-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 W GRANITE VALLEY DR STE E23",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755798",
            "telephone_number": "623-975-0500",
            "fax_number": "623-975-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MELANIE",
        "middle_name": "FERN",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "252062",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "252062",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "252062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.