MELINDA ANN RUSANOWSKI
NPI 1689399446
Nurse Practitioner - Family in Tempe, AZ

Active since October 04, 2022PECOS EnrolledAccepts Medicare Assignment
2645 E SOUTHERN AVE, TEMPE, AZ 85282(480) 756-6965(480) 384-5678 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melinda Ann Rusanowski NPPES

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

MELINDA ANN RUSANOWSKI (NPI 1689399446) is an individual family provider in Tempe, Arizona, licensed in Arizona (281802) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689399446
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELINDA ANN RUSANOWSKI
Location Address2645 E SOUTHERN AVETempe, AZ 85282-7649
Mailing Address16813 S 36th StPhoenix, AZ 85048-7955 · (480) 338-0600
Fax(480) 384-5678
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 4, 2022
NPPES CertifiedOctober 4, 2022
✔ NPI 1689399446 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 · 281802
2645 E SOUTHERN AVE, Tempe, AZ 85282

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

Melinda Ann Rusanowski 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 ID1658739628
PECOS Enrollment IDI20230623000054
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 Melinda Rusanowski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
1300 N 48TH ST
Phoenix, AZ 85008
  • Reassigned Medicare billing, Arizona enrollment
  • 166 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
23 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85282 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 4

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

Nurse Practitioner (Gerontology)
2645 E SOUTHERN AVE
TEMPE, AZ 85282
Nurse Practitioner (Family)
2645 E SOUTHERN AVE
TEMPE, AZ 85282
Nurse Practitioner (Family)
2645 E SOUTHERN AVE
TEMPE, AZ 85282
Nurse Practitioner (Adult Health)
2645 E SOUTHERN AVE
TEMPE, AZ 85282

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 Melinda Rusanowski's NPI number?

The NPI number for Melinda Rusanowski is 1689399446. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Melinda Rusanowski located?

Melinda Rusanowski practices at 2645 E Southern Ave, Tempe, AZ 85282. The listed phone number is (480) 756-6965.

What is Melinda Rusanowski's specialty?

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

Is Melinda Rusanowski enrolled in Medicare?

Yes. Melinda Rusanowski 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 organization bills Medicare for Melinda Rusanowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Rusanowski reassigns Medicare benefits to Mountain Park Health Center (Phoenix, AZ). The 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 Melinda Rusanowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melinda Rusanowski accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Melinda Rusanowski 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 Melinda Rusanowski was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.