MRS. EMILY ANN MELLUM (CRNA) – Certified Registered Nurse Anesthetist, NPI 1033360581

MRS. EMILY ANN MELLUM (CRNA) is a healthcare provider. based in Minneapolis, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. R1757886 (MN). The NPI Number for MRS. EMILY ANN MELLUM (CRNA) is 1033360581

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. EMILY ANN MELLUM (CRNA)
NPI
1033360581
Phone
(612) 873-3044
Address
701 PARK AVE SOUTH
Enumeration Date
2 October 2008
Last Update Date
7 February 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529935000
Graduation Year
2008 (18 years ago)
PAC ID
8729125877
Group Practice PAC ID
7315840063
Professional Enrollment ID
I20091022000622
Address ID
MN554264702ST6500XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,131 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MN

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Provider Addresses for MRS. EMILY ANN MELLUM (CRNA)

  • Hennepin County Medical Center, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States

    HENNEPIN COUNTY MEDICAL CENTER/REVENUE MANAGEMENT

    MINNEAPOLIS, MN 55415

    Phone: (612) 873-3044

    Fax: (612) 630-8242

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091022000622ICertified Registered Nurse Anesthetist (Crna)MNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery2222$0
View full utilization report →

Insurance plans in this area (ZIP 55415)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315840063View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

How do I look up MRS. EMILY ANN MELLUM (CRNA) by NPI?
Use NPI 1033360581 when you need to reference MRS. EMILY ANN MELLUM (CRNA) in forms, claims, or directories.
Is MRS. EMILY ANN MELLUM (CRNA)'s NPI currently valid?
The extract we use shows MRS. EMILY ANN MELLUM (CRNA) as active.
What does MRS. EMILY ANN MELLUM (CRNA) treat or focus on?
Patients typically see MRS. EMILY ANN MELLUM (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does MRS. EMILY ANN MELLUM (CRNA) practice in Minnesota?
You will see Minneapolis, Minnesota on file for MRS. EMILY ANN MELLUM (CRNA) alongside any extra practice locations.
Is MRS. EMILY ANN MELLUM (CRNA) a real provider?
This page reflects official NPPES data for NPI 1033360581. Always confirm identity and privileges with the practice and licensing boards.

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