MELISSA MARIE PANNELL (NPI# 1053756403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053756403 |
| Entity Type | Individual |
| Full Name | MELISSA MARIE PANNELL |
| Credential | RN FNP-BC |
| Practice Address |
3645 S Rome St Ste 204 Gilbert AZ 85297 |
| Mailing Address |
13203 N 103rd Ave Ste H5 Sun City AZ 85351-3032 |
| Practice Telephone | 6237774747 |
| Mailing Telephone | 6237774747 |
| Mailing Fax Number | 6237774748 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2018-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN148673 | AZ | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP5308 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 882418 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3645 S Rome St Ste 204, Gilbert, AZ 85297 | 6237774747 |
| Street Address |
3645 S ROME ST STE 204 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043491988 | David Kee Tom | Anesthesiology | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2007-11-20 |
| 1871085902 | Ocotillo Treatment Center, LLC | Clinic/Center | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2018-06-04 |
| 1356896138 | Novaspine Pain Institute, Plc | Specialist | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2016-08-22 |
| 1659781771 | Novaspine Pain Institute Plc | Durable Medical Equipment & Medical Supplies | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2014-04-28 |
| 1144645656 | Integrated Anesthesia Consultants Plc | Anesthesiology | 3645 S Rome St Ste 204, Gilbert, AZ 85297 | 2014-02-20 |
| 1972927440 | Shelly Harford X | Physician Assistant | 3645 S Rome St Ste 204, Gilbert, AZ 85297 | 2014-02-04 |
| 1225377898 | Joycelyn Ann Connet | Nurse Practitioner | 3645 S Rome St Ste 204, Gilbert, AZ 85297-7338 | 2013-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710592357 | Center for Orthopedic Research and Education LLC | Durable Medical Equipment & Medical Supplies | 3597 South Mercy Rd, Ste 200, Gilbert, AZ 85297 | 2020-09-10 |
| 1508483827 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3271 East Queen Creek, Bldg 2, Suite 101-p, Gilbert, AZ 85297 | 2020-07-02 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1750928727 | Emily Paige Stott | Specialist/Technologist | 4141 E Sidewinder Ct, Gilbert, AZ 85297 | 2019-12-09 |
| 1386280436 | Ocotillo Surgery Center LLC | Clinic/Center | 3920 S Rome Street, Gilbert, AZ 85297 | 2019-11-25 |
| 1366094930 | Psa Behavioral Health Agency | Community/Behavioral Health | 3271 E. Queen Creek Road, Ste. 105, 110, 111, Gilbert, AZ 85297 | 2019-07-12 |
| 1508337213 | Orthopedic Specialists of North America Pllc | Physical Therapist | 1675 E Melrose Street, Suites 101-103, Gilbert, AZ 85297 | 2018-12-07 |
| 1346766698 | Charles Stanley Bailey | Optometrist | 3098 E. Waterman Way, Gilbert, AZ 85297 | 2017-08-18 |
| 1982155503 | Sheli K Jensen | Marriage & Family Therapist | 7400 S. Power Road, Suite 116, Gilbert, AZ 85297 | 2016-10-19 |
| 1407302763 | Kelly Jo Plencner-vega | Advanced Practice Midwife | 3815 S Val Vista Dr, Gilbert, Az, Gilbert, AZ 85297 | 2016-08-28 |
| Find all providers in zip 85297 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667615 | Elena Eloriaga | Nurse Practitioner | 1925 S Coronado Rd Apt 2133, Gilbert, AZ 85295-2219 | 2020-10-20 |
| 1598364838 | Ryan Nelson Sutton | Nurse Practitioner | 3719 E Loma Vista St, Gilbert, AZ 85295-4675 | 2020-10-19 |
| 1518564897 | Erica Odom Mccumbers | Nurse Practitioner | 17 Downing Cir, Gilbert, SC 29054-8483 | 2020-10-08 |
| 1417562844 | Maribeth Kitma Odango | Nurse Practitioner | 3937 E Frances Ln, Gilbert, AZ 85295-2786 | 2020-09-11 |
| 1720698293 | Helene Elizalde | Nurse Practitioner | 1539 E Hummingbird Way, Gilbert, AZ 85297-4601 | 2020-08-08 |
| 1003425273 | Monica Hulsey | Nurse Practitioner | 471 N 159th Pl, Gilbert, AZ 85234-5040 | 2020-07-23 |
| 1801414883 | Scott Braverman | Nurse Practitioner | 225 E Germann Rd Ste 140, Gilbert, AZ 85297-2906 | 2020-07-07 |
| 1467078139 | Racquel Jillian Spyr | Nurse Practitioner | 837 S Parkcrest St, Gilbert, AZ 85296-8839 | 2020-06-18 |
| 1225653074 | Sigma Health and Wellness LLC | Nurse Practitioner | 3317 S. Higley Road, Ste 114-757, Gilbert, AZ 85297 | 2020-06-08 |
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| Find all providers in GILBERT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.