GREGORY S MELLESMOEN CRNA
NPI 1689633919
Nurse Anesthetist, Certified Registered in Maple Grove, MN
NPI Status: Active since March 23, 2006
Contact Information
9645 GROVE CIR N STE 250
MAPLE GROVE, MN
ZIP 55369
Phone: (763) 201-8191
Fax: (763) 201-8192
- Individual
- Male
- Nurse Anesthetist, Certified Registered
- Accepts Insurance
About GREGORY MELLESMOEN
This page provides the complete NPI Profile along with additional information for Gregory Mellesmoen, a provider established in Maple Grove, Minnesota with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1689633919 assigned on March 2006. The practitioner's primary taxonomy code is 367500000X with license number R0779700 (MN). The provider is registered as an individual and his NPI record was last updated 7 years ago.
- NPI
- 1689633919
- Provider Name
- GREGORY S MELLESMOEN CRNA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 9645 GROVE CIR N STE 250 MAPLE GROVE, MN 55369
- Location Phone
- (763) 201-8191
- Location Fax
- (763) 201-8192
- Mailing Address
- 9645 GROVE CIR N STE 250 MAPLE GROVE, MN 55369
- Mailing Phone
- (763) 201-8191
- Mailing Fax
- (763) 201-8192
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2006
- Last Update Date
- 06-13-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R0779700
- License State
- MN
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 937843000 | MEDICAID (05) | MN |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Anesthesia for nerve block and injection procedure, prone position
Anesthesia for nerve block and injection is a procedure to numb specific areas, reducing pain. You'll be positioned face-down (prone) for optimal access to the treatment area. The anesthetic is injected near the nerve, blocking pain signals to the brain.
This service was performed 100 times for 88 patientsReviews for GREGORY S MELLESMOEN CRNA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 8 | 9 | 6 | 3 | 3 | 9 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 12 | 3 | 6 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 1 + 2 + 3 + 6 + 9 + 2 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1689633919 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1487657847 | JEFFREY MERRIAM CRNA Individual | Nurse Anesthetist, Certified Registered | 9645 GROVE CIR N STE 250 MAPLE GROVE, MN 55369 (763) 201-8191 |
| 1104176205 | ANESTHESIA ASSOCIATES, PLLC Organization | Specialist | 9645 GROVE CIR N STE 250 MAPLE GROVE, MN 55369 (763) 201-8191 |
| 1144745951 | METROPOLITAN SURGICAL CENTER, LLC Organization | Clinic/Center (Ambulatory Surgical) | 9645 GROVE CIR N STE 250 MAPLE GROVE, MN 55369 (763) 201-8191 |
| 1417503558 | ALEXANDRA NICOLE KOES PA-C Individual | Physician Assistant | 9645 GROVE CIR N STE 250 MAPLE GROVE, MN 55369 (763) 201-8191 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689633919, enumerated in the NPI registry as an "individual" on March 23, 2006
The provider is located at 9645 Grove Cir N Ste 250 Maple Grove, Mn 55369 and the phone number is (763) 201-8191
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Anesthesia for nerve block and injection procedure, prone position.
This NPI record was last updated on March 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.