MELISSA NESDAHL (MHS-PA) – Physician Assistant, NPI 1063490522

MELISSA NESDAHL (MHS-PA) is a healthcare provider. based in St louis park, Minnesota. specializing in Physician Assistant. They hold the professional credentials MHS-PA. They hold a License No. 9997 (MN). The NPI Number for MELISSA NESDAHL (MHS-PA) is 1063490522

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA NESDAHL (MHS-PA)
NPI
1063490522
Phone
(952) 993-3230
Address
3931 LOUISIANA AVE S
Enumeration Date
5 January 2006
Last Update Date
19 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528318742
Graduation Year
2004 (22 years ago)
PAC ID
0941258222
Group Practice PAC ID
3173570561
Professional Enrollment ID
I20050823000079
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MELISSA NESDAHL (MHS-PA)

  • 3931, Louisiana Avenue South, Brooklawns, Saint Louis Park, Hennepin County, Minnesota, 55426, United States

    ST LOUIS PARK, MN 554265000

    Phone: (952) 993-3230

    Fax: (952) 993-1748

    Type: Location

  • 710 COMMERCE DR STE 200

    WOODBURY, MN 551254925

    Phone: (651) 968-5200

    Fax: (952) 993-1748

    Type: Mailing

  • 1285 NININGER RD STE 107

    HASTINGS, MN 550331086

    Phone: (952) 993-3230

    Fax: (952) 993-1748

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55426)

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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: 3173570561View full group profile
NameSpecialtyState
BRADLEY LEAFBLAD (PT)
Physical Therapist In Private PracticeMN
WILLIAM NATHAN LISBERG (MD)
-MN
ANNE NADINE MAURER
Physical Medicine And RehabilitationMN
DR. ERIC GRANT MEINBERG (M.D.)
Orthopedic SurgeryMN
KIM M WATERBURY (MS, OTRL, CHT)
Occupational Therapist In Private PracticeMN
ABIGAIL STIGNANI
-MN
MS. NANCY J CALLINAN (OT)
-MN
JILL M LAWRENCE (PT)
Physical Therapist In Private PracticeMN
ELIZABETH ANN LINDGREN (MD)
-MN
MICHELLE HANSE (PT)
-MN

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Frequently asked questions

Is MELISSA NESDAHL (MHS-PA) listed with a National Provider Identifier?
Yes — MELISSA NESDAHL (MHS-PA) has NPI 1063490522 on file in the registry.
Is MELISSA NESDAHL (MHS-PA) still an active registrant?
MELISSA NESDAHL (MHS-PA) carries an active NPI according to the public dataset.
What clinical focus is listed for MELISSA NESDAHL (MHS-PA)?
At a glance, MELISSA NESDAHL (MHS-PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Minnesota is MELISSA NESDAHL (MHS-PA) registered?
Use St Louis Park, Minnesota as the headline location for MELISSA NESDAHL (MHS-PA) here.
When was this NPI issued?
Enumeration for MELISSA NESDAHL (MHS-PA) is noted as January 5, 2006 where the registry provides it.

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