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

Melonie I Blancaneaux

Individual provider Nurse Practitioner · NPI 1285150664

Melonie I Blancaneaux is a Nurse Practitioner in Fort Defiance, Arizona. Qualified in 2016, 10 years ago. Practices with Southeast Alaska Regional Health Consortium, a 368-clinician group and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
10
Licensed in
AK
In the registry since
2017

Practice location Partly verified

Some contact details are missing from the federal record.

Tseshootsooi Medical Center Corner Of Route N12 And N7
Fort Defiance, AZ 86504
Phone: (928) 729-8587
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 121575 (AK)

Record details

NPI number1285150664
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2017
Last updated in NPPESAugust 17, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southeast Alaska Regional Health Consortium — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Fort Defiance