MELISSA A MCCLELLAN (NPI# 1699794271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699794271 |
| Entity Type | Individual |
| Full Name | MELISSA A MCCLELLAN |
| Credential | CNP |
| Practice Address |
2357 108th Ln Ne Mn002 Blaine MN 55449-5222 |
| Practice Telephone | 7632320323 |
| Mailing Telephone | 7632320323 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0605160 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICARE RAILROAD | P00320152 | 01 |
| MN | 265443100 | 05 | |
| MN | MEDICA | 01-21788 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 283P8MC | 01 |
| Street Address |
2357 108TH LN NE MN002 |
| City | BLAINE |
| State | MN |
| Zip Code | 55449-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303004 | Brianna Ashley Hempel | Nurse Practitioner | 2357 108th Ln Ne, Blaine, MN 55449-5222 | 2020-07-14 |
| 1386167765 | Nicole Satzinger | Pharmacist | 2357 108th Ln Ne, Blaine, MN 55449-5222 | 2017-07-18 |
| 1750642146 | Carol Elizabeth Franzel | Nurse Practitioner | 2357 108th Ln Ne, Blaine, MN 55449-5222 | 2012-06-03 |
| 1720369341 | Katherine Daisy Brula | Nurse Practitioner | 2357 108th Ln Ne, Blaine, MN 55449-5222 | 2011-09-09 |
| 1619109410 | Patricia Lynn Stock | Nurse Practitioner | 2357 108th Ln Ne, Blaine, MN 55449-5222 | 2009-08-13 |
| 1245339548 | Grand St Paul Cvs LLC | Pharmacy | 2357 108th Ln Ne, Blaine, MN 55449-5222 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033736368 | Landon Thomas Case | Dentist | 10729 Town Square Drive Ne, Ste 100, Blaine, MN 55449 | 2020-07-02 |
| 1881168441 | Ear Institutes, LLC | Otolaryngology | 4365 Pleasant Ridge Dr Ne, Suite 106, Blaine, MN 55449 | 2019-01-17 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1043719016 | Robin Lynn Broen | Registered Nurse | 3012 129th Ave Ne, Blaine, MN 55449 | 2018-02-06 |
| 1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
| 1871989806 | Blaine Wp II, LLC | Assisted Living Facility | 12402 Jamestown Street Ne, Blaine, MN 55449 | 2015-04-07 |
| 1154761633 | Jean Budge | Marriage & Family Therapist | 11800 Aberdeen Street Ne, Suite 100, Blaine, MN 55449 | 2013-06-28 |
| 1295013498 | Jeff K Yu | Veterinarian | 11850 Aberdeen St Ne, Blaine, MN 55449 | 2011-07-22 |
| 1528394707 | Julie Ann Eibensteiner | Physical Therapist | 11304 Davenport Circle Ne #a, Minneapolis, MN 55449 | 2009-10-23 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| Find all providers in zip 55449 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922574557 | Karrie Lynn Fugate | Nurse Practitioner | 424 121st Ave Ne, Blaine, MN 55434-3383 | 2018-10-22 |
| 1396228912 | Bariaala B Kpuinen | Nurse Practitioner | 1725 124th Ave Ne, Blaine, MN 55449-5341 | 2018-09-10 |
| 1841776242 | Kristin Broback | Nurse Practitioner | 10705 Town Square Dr Ne #100, Blaine, MN 55449 | 2018-07-18 |
| 1295228005 | Wanda Fay White | Nurse Practitioner | 586 Rutledge Pike, Blaine, TN 37709-2314 | 2018-06-07 |
| 1891248316 | Rebecca Gail Patton | Nurse Practitioner | 1117 Cliff Top Rd, Blaine, TN 37709-5923 | 2016-08-02 |
| 1831474154 | Sharon Key Payne | Nurse Practitioner | 1066 Rutledge Pike, Blaine, TN 37709-3027 | 2011-10-18 |
| 1811295629 | Jamie Jones Graves | Nurse Practitioner | 880 Rutlege Pike, Blaine, TN 37709-2420 | 2011-03-02 |
| 1871725333 | Deborah Kathryn Zongo | Nurse Practitioner | 10190 Baltimore St Ne Ste 100, Blaine, MN 55449 | 2009-08-18 |
| 1093767634 | Teresa L. Regier | Nurse Practitioner | 8097 Harborview Rd, Blaine, WA 98230-9639 | 2006-05-16 |
| 1891303004 | Brianna Ashley Hempel | Nurse Practitioner | 2357 108th Ln Ne, Blaine, MN 55449-5222 | 2020-07-14 |
| Find all providers in BLAINE | ||||
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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.