Mellissa Sue Ivy, ARNP - Medicare Nurse Practitioner in Spokane, WA

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Mellissa Sue Ivy, ARNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Spokane, Washington. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Providence Health And Services Washington, Multicare Health System and her current practice location is 101 W 8th Ave, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 474-3260.

Mellissa Sue Ivy is licensed to practice in Washington (license number AP61216242) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730815960.

Contact Information

Mellissa Sue Ivy, ARNP
101 W 8th Ave,
Spokane, WA 99204-2307
(509) 474-3260
Not Available

Map and Direction




Provider's Profile

Full NameMellissa Sue Ivy
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location101 W 8th Ave, Spokane, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mellissa Sue Ivy graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1730815960
  • Provider Enumeration Date: 07/29/2022
  • Last Update Date: 05/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0648649152
  • Enrollment ID: I20230825002529

Medical Identifiers

Medical identifiers for Mellissa Sue Ivy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730815960NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care AP61216242 (Washington)Secondary
363LF0000XNurse Practitioner - Family AP61216242 (Washington)Secondary
363LG0600XNurse Practitioner - Gerontology AP61216242 (Washington)Primary
207R00000XInternal Medicine 61216242 (Washington)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Holy Family HospitalSpokane, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Washington0345139929778
Multicare Health System77198998972312

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mellissa Sue Ivy allows following entities to bill medicare on her behalf.
Entity NameMulticare Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194099390
PECOS PAC ID: 0345139929
Enrollment ID: O20040311001453
Entity NamePost Acute Medical PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730713025
PECOS PAC ID: 5193156115
Enrollment ID: O20200507000939
Entity NameAltea Medical Washington PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609655497
PECOS PAC ID: 6406385855
Enrollment ID: O20250129003309

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mellissa Sue Ivy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mellissa Sue Ivy, ARNP
Po Box 421,
Liberty Lake, WA 99019-0421

Ph: (866) 747-2455		Mellissa Sue Ivy, ARNP
101 W 8th Ave,
Spokane, WA 99204-2307

Ph: (509) 474-3260

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.