Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melinda Ann Rusanowski

Individual provider Family Nurse Practitioner · NPI 1689399446

Melinda Ann Rusanowski is a Nurse Practitioner in Tempe, Arizona. Qualified in 2022, 4 years ago. Practices with Mountain Park Health Center, a 121-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

2645 E Southern Ave
Tempe, AZ 85282-7649
Phone: (480) 756-6965
Fax: (480) 384-5678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 281802 (AZ)

Record details

NPI number1689399446
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 4, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mountain Park Health Center — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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