KRISTIN K. MELLGREN (NPI# 1316976236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316976236 |
| Entity Type | Individual |
| Full Name | KRISTIN K. MELLGREN |
| Credential | PA-C |
| Practice Address |
2251 Connecticut Ave S Ste 3800 Sartell MN 56377-2574 |
| Practice Telephone | 3202523376 |
| Practice Fax Number | 3202526847 |
| Mailing Telephone | 3202523376 |
| Mailing Fax Number | 3202526847 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9855 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 970001852 | 05 |
| Street Address |
2251 CONNECTICUT AVE S STE 3800 |
| City | SARTELL |
| State | MN |
| Zip Code | 56377-2574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783515 | Chae Norman | Massage Therapist | 303 4th Ave S, Suite C, Sartell, MN 56377 | 2019-07-25 |
| 1497317259 | Stephanie Maria Schaefer | Behavioral Analyst | 1133 Mockingbird Loop, Sartell, MN 56377 | 2019-07-02 |
| 1538722848 | Madison Toughill | Behavior Technician | 205 14th Ave E, Sartell, MN 56377 | 2019-04-22 |
| 1902388671 | Julie Ann Helms | Counselor | 101 Dehler Dr., Sartell, MN 56377 | 2018-08-30 |
| 1104337617 | Louis Chester Winskowski IIi | Orthotist | 50 14th Ave E Suite 114, Sartell, MN 56377 | 2017-10-24 |
| 1962958611 | Centracare Clinic | Exclusive Provider Organization | 166 19th Street S, Suite 202, Sartell, MN 56377 | 2016-08-31 |
| 1295197846 | Mindful Healing & Training | Counselor | 1417 15th Street South, Sartell, MN 56377 | 2016-03-23 |
| 1710342894 | Saint Cloud Hospital St. Benedict's Senior Community | Skilled Nursing Facility | 990 19th St. S., Sartell, MN 56377 | 2015-12-16 |
| 1932452661 | David Peter Pogatchnik | Pharmacist | 2251 Connecticut Ave. South, Health Partners Central Minnesota Clinics (pharmacy), Sartell, MN 56377 | 2012-10-18 |
| 1669759866 | Lakewood Health System | Clinic/Center | 161 19th St S Ste 106, Sartell, MN 56377 | 2011-11-16 |
| Find all providers in zip 56377 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639275605 | Dean Alan Stulz | Physician Assistant | 100 South 2nd Street, Sartell, MN 56377-1977 | 2006-09-16 |
| 1851337299 | Rusty Burress | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377 | 2006-06-22 |
| 1477531267 | Kristin Noel Francois | Physician Assistant | 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377-2477 | 2006-01-03 |
| 1790311934 | Laura Lee Stang | Physician Assistant | 2351 Connecticut Ave S Ste 200, Sartell, MN 56377-2477 | 2020-03-19 |
| 1518500578 | Teia Rose Wolter | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2486 | 2019-10-22 |
| 1336790179 | Benjamin James Hageman | Physician Assistant | 2251 Connecticut Ave S, Sartell, MN 56377-2583 | 2019-09-23 |
| 1235623455 | Joseph Mathew Fortier | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377 | 2018-06-20 |
| 1346733144 | Hans Richard Backlund | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377-2554 | 2018-06-07 |
| 1316456262 | Ashley Marie Patterson | Physician Assistant | 1901 Connecticut Ave S, Sartell, MN 56377 | 2017-09-22 |
| 1457881021 | Angela Marie Schuster | Physician Assistant | 1990 Connecticut Ave S, Sartell, MN 56377-2554 | 2017-06-15 |
| Find all providers in SARTELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.