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

Mellissa Sue Ivy, ARNP

Individual provider Internal Medicine Physician · NPI 1730815960

Mellissa Sue Ivy, ARNP is a Nurse Practitioner in Spokane, Washington. Qualified in 2020, 6 years ago. Practices with Providence Health and Services Washington, a 776-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2022
Specialties on file
4
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

101 W 8th Ave
Spokane, WA 99204-2307
Phone: (509) 474-3260
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3269 N Stockton Hill Rd, Kingman, AZ 86409-3619 — (928) 757-2101
  • 800 W 5th Ave, Spokane, WA 99204-2803 — (509) 838-2531

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence AP61216242 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 61216242 (WA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP61216242 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP61216242 (WA)

Record details

NPI number1730815960
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedJuly 29, 2022
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Health And Services Washington — 776 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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