MELLISSA SUE IVY ARNP
NPI 1730815960
Nurse Practitioner - Gerontology in Spokane, WA
About Mellissa Sue Ivy Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELLISSA SUE IVY ARNP (NPI 1730815960) is an individual gerontology provider in Spokane, Washington, licensed in Washington (AP61216242) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Providence Holy Family Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Secondary Practice Locations 2
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
Mellissa Sue Ivy Arnp 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
4Medicare enrollment records show Mellissa Ivy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 862 clinicians in this Medicare group
Spokane, WA 99202
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Everett, WA 98203
- Reassigned Medicare billing, Washington enrollment
- 166 clinicians in this Medicare group
Lanham, MD 20706
- Reassigned Medicare billing, Washington enrollment
- 239 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence Holy Family Hospital
Acute Care Hospitals · Spokane, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 99204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mellissa Ivy's NPI number?
The NPI number for Mellissa Ivy is 1730815960. It was assigned to this individual provider in the NPPES registry on July 29, 2022. The provider is also known as Mellissa Sue Ivy Walter Arnp.
Where is Mellissa Ivy located?
Mellissa Ivy practices at 101 W 8th Ave, Spokane, WA 99204. The listed phone number is (509) 474-3260.
What is Mellissa Ivy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Mellissa Ivy enrolled in Medicare?
Yes. Mellissa Ivy 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 Mellissa Ivy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mellissa Ivy reassigns Medicare benefits to 4 organizations: Providence Health & Services Washington (Spokane, WA), Multicare Health System (Spokane, WA), Altea Medical Washington PLLC (Everett, WA) and Post Acute Medical PLLC (Lanham, MD). 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 Mellissa Ivy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mellissa Ivy accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mellissa Ivy 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.
Is Mellissa Ivy affiliated with any hospitals?
According to CMS data, Mellissa Ivy is affiliated with Providence Holy Family Hospital.
When was this NPI record last updated?
The NPPES record for Mellissa Ivy was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mellissa Sue Ivy, ARNP · NPI 1730815960
Gerontology physician in Spokane, Washington. Individual provider, active in the CMS NPPES registry since July 29, 2022.
## Identity
- **NPI:** 1730815960 (Entity type: Individual)
- **Enumerated:** July 29, 2022
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** AP61216242 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 W 8TH AVE, Spokane, WA 99204-2307
- **Phone:** (509) 474-3260
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services Washington (NPI 1194099390, Spokane, WA); Multicare Health System (NPI 1730687161, Spokane, WA); Altea Medical Washington PLLC (NPI 1609655497, Everett, WA); Post Acute Medical PLLC (NPI 1730713025, Lanham, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1730815960) · Data from the CMS NPPES public registry.