MELISSA ANN MOGEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1225929672

MELISSA ANN MOGEN (CRNA) is a healthcare provider. based in Cottage grove, Minnesota. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2251886 (MN). The NPI Number for MELISSA ANN MOGEN (CRNA) is 1225929672

Main info

Female
1 Year Of Experience
Name
MELISSA ANN MOGEN (CRNA)
NPI
1225929672
Phone
(716) 208-8778
Address
7686 HOMESTEAD AVE S
Enumeration Date
14 July 2025
Last Update Date
10 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6514644611
Graduation Year
2025 (1 year ago)
PAC ID
2567952708
Group Practice PAC ID
0648244152
Professional Enrollment ID
I20251106003346
Address ID
MN550928013WY5200XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:0State licenses:2Digital endpointsOther names

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

Provider Addresses for MELISSA ANN MOGEN (CRNA)

  • 7686 HOMESTEAD AVE S

    COTTAGE GROVE, MN 550161989

    Phone: (716) 208-8778

    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: 2025-11-06

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
I20251106003346ICertified 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.

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

Insurance plans in this area (ZIP 55016)

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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: 0648244152View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MN
-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)FL
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

What is MELISSA ANN MOGEN (CRNA)'s NPI number?
MELISSA ANN MOGEN (CRNA)'s NPI is 1225929672 — the number used across U.S. healthcare to identify this provider.
Would MELISSA ANN MOGEN (CRNA) appear as active to a payer?
You can treat MELISSA ANN MOGEN (CRNA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MELISSA ANN MOGEN (CRNA)?
MELISSA ANN MOGEN (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Minnesota is MELISSA ANN MOGEN (CRNA) registered?
Use Cottage Grove, Minnesota as the headline location for MELISSA ANN MOGEN (CRNA) here.
Can I trust this NPI listing for MELISSA ANN MOGEN (CRNA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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