DEREK MELLO FNP-C
NPI 1366824054
Nurse Practitioner - Adult Health in Sun City, AZ

Q: What is Derek Mello's NPI number?

The NPI number for Derek Mello is 1366824054. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Q: What is Derek Mello's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Derek Mello was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 18, 2015PECOS EnrolledAccepts Medicare Assignment

13203 N 103RD AVE STE H5, SUN CITY, AZ 85351(623) 777-4747 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Derek Mello Fnp-c NPPES

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

DEREK MELLO FNP-C (NPI 1366824054) is an individual adult health provider in Sun City, Arizona, licensed in Arizona (AP7907) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Glendale, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366824054

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameDEREK MELLOCredential: FNP-C

Location Address13203 N 103RD AVE STE H5Sun City, AZ 85351-3032

Mailing Address5104 N 67th AveGlendale, AZ 85303 · (602) 899-4404

Phone(623) 777-4747

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateJune 18, 2015

Last NPPES UpdateFebruary 12, 2019

✔ NPI 1366824054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in AZ · AP7907

13203 N 103RD AVE STE H5, Sun City, AZ 85351

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Secondary Practice Location 1

Location 15104 N 67th AveGlendale, AZ 85303 · Phone (602) 899-4404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek Mello Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486969813

PECOS Enrollment IDI20250114000643

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85351 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 12

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

DR. DAVID KEE TOM M.D.

Pain Medicine (Interventional Pain Medicine)