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

Melissa Kivisto, FNP

Individual provider Family Nurse Practitioner · NPI 1649099177

Melissa Kivisto, FNP is a Nurse Practitioner in Queen Creek, Arizona. Qualified in 2024, 2 years ago. Practices with Alliance Wound Care Services LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2132 E Ocotillo Rd
Queen Creek, AZ 85142
Phone: (480) 577-2600
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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 317137 (AZ)

Record details

NPI number1649099177
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 10, 2024
Last updated in NPPESMarch 18, 2025
Certification dateMarch 18, 2025
Mailing address9603 E Thunderbolt Ave, Mesa, AZ 85212-6442

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Alliance Wound Care Services Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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