MELISSA KIVISTO FNP
NPI 1649099177
Nurse Practitioner - Family in Queen Creek, AZ
About Melissa Kivisto Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA KIVISTO FNP (NPI 1649099177) is an individual family provider in Queen Creek, Arizona, licensed in Arizona (317137) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Melissa Kivisto Fnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Melissa Kivisto reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Queen Creek, AZ 85142
- Reassigned Medicare billing, Arizona enrollment
- 22 clinicians in this Medicare group
Phoenix, AZ 85032
- Reassigned Medicare billing, Arizona enrollment
- 71 clinicians in this Medicare group
Surprise, AZ 85374
- Reassigned Medicare billing, Arizona enrollment
- 8 clinicians in this Medicare group
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 85142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Melissa Kivisto's NPI number?
The NPI number for Melissa Kivisto is 1649099177. It was assigned to this individual provider in the NPPES registry on October 10, 2024.
Where is Melissa Kivisto located?
Melissa Kivisto practices at 2132 E. Ocotillo Rd., Queen Creek, AZ 85142. The listed phone number is (480) 577-2600.
What is Melissa Kivisto's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Melissa Kivisto enrolled in Medicare?
Yes. Melissa Kivisto is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Melissa Kivisto's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Kivisto reassigns Medicare benefits to 3 organizations: Primary Care Practice Of Arizona, PLLC (Queen Creek, AZ), Pain And Palliative Associates Of Arizona (Phoenix, AZ) and Alliance Wound Care Services PLLC (Surprise, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Kivisto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melissa Kivisto accept?
Health plans from Blue Cross Blue Shield of Arizona list Melissa Kivisto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Melissa Kivisto was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Melissa Kivisto, FNP · NPI 1649099177
Family physician in Queen Creek, Arizona. Individual provider, active in the CMS NPPES registry since October 10, 2024.
## Identity
- **NPI:** 1649099177 (Entity type: Individual)
- **Enumerated:** October 10, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 317137 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 2132 E. OCOTILLO RD., Queen Creek, AZ 85142
- **Phone:** (480) 577-2600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Primary Care Practice Of Arizona, PLLC (NPI 1477236495, Queen Creek, AZ); Pain And Palliative Associates Of Arizona (NPI 1538723531, Phoenix, AZ); Alliance Wound Care Services PLLC (NPI 1083406722, Surprise, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649099177) · Data from the CMS NPPES public registry.