Individual provider Active NPI

Melina Clarissa Sims

  • Acute Care Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1851096903
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
289809 Issued in AZ
Practice address
14749 W Mountain View Blvd Ste 138
Surprise, AZ 85374-2704
Phone
(623) 738-0440
Fax
(480) 374-8051
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 289809 AZ
Acute Care Nurse Practitioner 363LA2100X 289809 AZ Primary

Addresses

Primary practice location

14749 W Mountain View Blvd Ste 138
Surprise, AZ 85374-2704

Mailing address

14749 W Mountain View Blvd Ste 138
Surprise, AZ 85374-2704
Phone (623) 738-0440

Other names 1

  • Melina Clarissa Lerma Former name

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
I20231108002896 AZ Practitioner - Nurse Practitioner 2668829904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14749 W Mountain View Blvd
Suite 138
Surprise, AZ 85374-2704
Phone (623) 738-0440

Merit-based Incentive Payment System (MIPS)

Final score
90.06 of 100Reported as group
Quality
80.17
Promoting interoperability
100
Improvement activities
40
Cost
80.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Az CS PC CurrentSince Jan 10, 2026 Accepting new patients
Kumar Ravi MD Facc PC CurrentSince Sep 25, 2023 Accepting new patients
Kumar Ravi MD Facc PC CurrentSince Sep 25, 2023 Accepting new patients
Centerwell Senior Primary Care Az CS PC CurrentSince Jan 10, 2026 Accepting new patients
Arizona Heart Specialists PLLC Past Accepting new patients

Locations

9515 W Camelback Rd
Ste 136
Phoenix, AZ 85037
Phone (623) 322-8906

10503 W Thunderbird Blvd
Ste 103
Sun City, AZ 85351
Phone (623) 547-7654

15405 N 99th Ave
Ste A
Sun City, AZ 85351
Phone (623) 584-5626

14300 W Granite Valley Dr
Sun City West, AZ 85375
Phone (623) 203-9147

14418 W Meeker Blvd
#B105
Sun City West, AZ 85375

14749 W Mountain View Blvd
Ste 138
Surprise, AZ 85374
Phone (623) 500-2344

1175 W Wickenburg Way
Wickenburg, AZ 85390
Phone (480) 266-9293

Organizations & group practices 6

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": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1851096903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14749 W MOUNTAIN VIEW BLVD STE 138",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742704",
            "telephone_number": "623-738-0440",
            "fax_number": "480-374-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14749 W MOUNTAIN VIEW BLVD STE 138",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742704",
            "telephone_number": "623-738-0440",
            "fax_number": "480-374-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "MELINA",
        "middle_name": "CLARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "289809",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "289809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINA",
            "last_name": "LERMA",
            "middle_name": "CLARISSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.