MELISSA JEAN RUTHERFORD MSN, APRN, FNP-C
NPI 1063274025
Nurse Practitioner - Family in Mesa, AZ

Q: What is Melissa Rutherford's NPI number?

The NPI number for Melissa Rutherford is 1063274025. It was assigned to this individual provider in the NPPES registry on January 25, 2024.

Q: What is Melissa Rutherford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 25, 2024PECOS Enrolled

1148 W BASELINE RD, MESA, AZ 85210(480) 559-3149 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Melissa Jean Rutherford Msn, Aprn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA JEAN RUTHERFORD MSN, APRN, FNP-C (NPI 1063274025) is an individual family provider in Mesa, Arizona, licensed in Arizona (300743) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063274025

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMELISSA JEAN RUTHERFORDCredential: MSN, APRN, FNP-C

Location Address1148 W BASELINE RDMesa, AZ 85210-5971

Mailing Address2526 N Usery Pass RdMesa, AZ 85207-1578 · (480) 980-3238

Phone(480) 559-3149

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 25, 2024

Last NPPES UpdateFebruary 27, 2026

NPPES CertifiedFebruary 27, 2026

✔ NPI 1063274025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · 300743

1148 W BASELINE RD, Mesa, AZ 85210

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Jean Rutherford Msn, Aprn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597101824

PECOS Enrollment IDI20260421002763

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Melissa Rutherford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pain And Palliative Associates Of Arizona

20 mi

Pain Medicine

3811 E BELL RD STE 111
Phoenix, AZ 85032

Reassigned Medicare billing, Arizona enrollment
71 clinicians in this Medicare group

NPI 1538723531 (602) 675-2585

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT JOSEPH IBARRA FNP-C

Nurse Practitioner (Family)