MS. MELISSA IVY SHERIDAN ARNP
NPI 1659310530
Nurse Practitioner - Family in Phoenix, AZ
NPI Status: Active since June 06, 2006
Contact Information
750 E THUNDERBIRD RD
SUITE 3
PHOENIX, AZ
ZIP 85022
Phone: (602) 674-6220
Fax: (602) 978-2198
- Individual
- Female
- Years of Experience 19
- Nurse Practitioner
- Family
- PECOS Enrolled
- Accepts Medicare Approved Payment
About MELISSA SHERIDAN
Melissa Sheridan is a provider established in Phoenix, Arizona and her medical specialization is Nurse Practitioner with a focus in family with more than 19 years of experience. The healthcare provider is registered in the NPI registry with number 1659310530 assigned on June 2006. The practitioner's primary taxonomy code is 363LF0000X with license number AP8695 (AZ). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1659310530
- Provider Name
- MS. MELISSA IVY SHERIDAN ARNP
- Other Name
- MRS. MELISSA IVY KRYANINKO
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 750 E THUNDERBIRD RD SUITE 3 PHOENIX, AZ 85022
- Location Phone
- (602) 674-6220
- Location Fax
- (602) 978-2198
- Mailing Address
- 2500 W UTOPIA RD SUITE 100 PHOENIX, AZ 85027
- Mailing Phone
- (623) 434-6200
- Mailing Fax
- (602) 978-2198
- Medical School Name
- OTHER
- Graduation Year
- 2005
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-06-2006
- Last Update Date
- 08-30-2016
- Code Navigator
A nurse practitioner (NP) like Melissa Sheridan is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Melissa Sheridan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.08 for a new patient copayment and $25.51 for an established patient copayment.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP8695
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter from Arizona Complete Health
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
Ambetter from Sunshine Health
- Complete SELECT Gold with Select Providers - HMO
- Elite SELECT Bronze with Select Providers - HMO
- Focused SELECT Silver with Select Providers - HMO
- Standard Expanded Bronze SELECT - HMO
- Standard Gold SELECT - HMO
Ambetter of Tennessee
- Standard Expanded Bronze SELECT - EPO
- Standard Gold SELECT - EPO
- Standard Silver SELECT - EPO
BannerAetna
- BannerAetna Bronze 2 HSA: No PCP required + MinuteClinic + free 98point6 virtual care 24/7 - HMO
- BannerAetna Bronze 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
- BannerAetna Bronze S: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
- BannerAetna Gold 3: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
- BannerAetna Gold 4: No PCP required + Unlimited $0 MinuteClinic + free 98point6 virtual care 24/7 - HMO
Blue Cross Blue Shield of Arizona
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
Imperial Insurance Companies, Inc.
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
Oscar Health Plan, Inc.
- Bronze Classic - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
UnitedHealthcare
- UHC Bronze Copay Focus $0 Indiv Med Ded - HMO
- UHC Bronze Essential - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) - HMO
- UHC Bronze Value HSA - HMO
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
307119700 | MEDICAID (05) | FL |
PECOS Enrollment and Medicare Participation Status
Melissa Sheridan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 345528485
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20161025001840
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85022 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.33
- Minimum New Patient Price $57.31
- Maximum New Patient Price $174.67
- Average New Patient Copayment $22.08
- Minimum New Patient Copayment $14.32
- Maximum New Patient Copayment $43.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $102.07
- Minimum Established Patient Price $17.74
- Maximum Established Patient Price $142.64
- Average Established Patient Copayment $25.51
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $35.66
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Services
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 52
Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- 15
Testing for presence of drug (HCPCS:80305)
Hospital Affiliations
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Melissa Sheridan is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL | 250 EAST DUNLAP AVENUE PHOENIX, AZ 85020 | (602) 331-5862 | Acute Care Hospitals |
Reviews for MS. MELISSA IVY SHERIDAN ARNP
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 5 | 9 | 3 | 1 | 0 | 5 | 3 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 10 | 9 | 6 | 1 | 0 | 5 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 0 + 9 + 6 + 1 + 0 + 5 + 6 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1659310530 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1356673636 | MONA A HOLUBAR PT Individual | Physical Therapist | 750 E THUNDERBIRD RD SUITE 1 PHOENIX, AZ 85022 (602) 866-1255 |
1134433097 | JAMES J DEARING, D.O., P.C. Organization | Family Medicine | 750 E THUNDERBIRD RD SUITE 1 PHOENIX, AZ 85022 (602) 867-1302 |
1932401429 | GERALD MARSHALL M.D. Individual | General Practice | 750 E THUNDERBIRD RD PHOENIX, AZ 85022 (602) 286-6122 |
1417203076 | MRS. CARA ESTHER GLENN R.D. Individual | Dietitian, Registered | 750 E THUNDERBIRD RD PHOENIX, AZ 85022 (602) 866-1220 |
1396085775 | MS. DIANE NEVILLE MUCH M.S., R.D. Individual | Dietitian, Registered | 750 E THUNDERBIRD RD PHOENIX, AZ 85022 (602) 866-1220 |
1437523404 | CAREMORE HEALTH PLAN Organization | Nurse Practitioner (Family) | 750 E THUNDERBIRD RD PHOENIX, AZ 85022 (602) 866-1220 |
1962954610 | MS. DONNA SIMON RD Individual | Dietitian, Registered | 750 E THUNDERBIRD RD SUITE 3 PHOENIX, AZ 85022 (602) 674-6220 |
1487003919 | HONORHEALTH MEDICAL GROUP, LLC Organization | Family Medicine | 750 E THUNDERBIRD RD SUITE 3 PHOENIX, AZ 85022 (623) 434-6200 |
1750371324 | DAVID E NAGATA MD Individual | Internal Medicine | 750 E THUNDERBIRD RD PHOENIX, AZ 85022 (602) 230-7373 |
1922359462 | MRS. STACY JEAN SANCHEZ FNP, PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 750 E THUNDERBIRD RD PHOENIX, AZ 85022 (602) 230-7373 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659310530, enumerated in the NPI registry as an "individual" on June 06, 2006
The provider is located at 750 E Thunderbird Rd Suite 3 Phoenix, Az 85022 and the phone number is (602) 674-6220
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider has more than 19 years of experience.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $88.33 with an average copayment of $22.08 for new patient appointments. Established patients should expect a typical charge of $102.07 and an average copayment of 25.51. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample and Testing for presence of drug.
The practitioner is affiliated to the following hospital(s): JOHN C. LINCOLN NORTH MOUNTAIN HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on June 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.