Active NPI
Melanie Fern Anderson, AGPCNP-C
- Gerontology Nurse Practitioner
- Sun City West, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 252062
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
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
- Wickenburg Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 252062 | AZ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonoran Pulmonary and Critical Care PLLC | Pulmonary Disease | Current | Accepting new patients |
| Craig M. Rundbaken, D.O. PLLC | Pulmonary Disease | Current | Accepting new patients |
| Good Night Sleep Services, LLC | Current | 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.
-
- Pulmonary Disease Physician
- Sun City West, AZ
- NPI 1821279308
AZ, Pulmonary Disease
-
- Sleep Disorder Diagnostic Clinic/Center
- Sun City West, AZ
- NPI 1720629058
-
- Pulmonary Disease Physician
- Phoenix, AZ
- NPI 1457651085
Pulmonary Disease
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
Hospital
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.