Individual provider Active NPI

Melissa Leigh Frazelle, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1871049916
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.014038 Issued in IL
Practice address
3333 E Camelback Rd Ste 122
Phoenix, AZ 85018-2323
Phone
(602) 522-1900
Fax
(602) 381-3281
NPI assigned
Aug 29, 2016
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 209.014038 IL Primary

Addresses

Primary practice location

3333 E Camelback Rd Ste 122
Phoenix, AZ 85018-2323

Mailing address

3333 E Camelback Rd Ste 122
Phoenix, AZ 85018-2323
Phone (602) 522-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 30, 2024 through Sep 30, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.014038ILMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1871049916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182323",
            "telephone_number": "602-522-1900",
            "fax_number": "602-381-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 E CAMELBACK RD STE 122",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182323",
            "telephone_number": "602-522-1900",
            "fax_number": "602-381-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZELLE",
        "first_name": "MELISSA",
        "middle_name": "LEIGH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.014038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.