VICTORIA M ELMER (MD) – Addiction Medicine (Psychiatry & Neurology) Physician, NPI 1235192709

VICTORIA M ELMER (MD) is a healthcare provider. based in St paul, Minnesota. specializing in Addiction Medicine (Psychiatry & Neurology) Physician. They hold the professional credentials MD. They hold a License No. 38414 (MN). The NPI Number for VICTORIA M ELMER (MD) is 1235192709

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA M ELMER (MD)
NPI
1235192709
Phone
(651) 254-7980
Address
401 Phalen Blvd-MS 41104A
Enumeration Date
7 April 2006
Last Update Date
19 January 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6519258200
Graduation Year
1993 (33 years ago)
PAC ID
7911181052
Group Practice PAC ID
7416259718
Professional Enrollment ID
I20110413000868
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for VICTORIA M ELMER (MD)

  • 401 Phalen Blvd-MS 41104A

    HealthPartners Specialty Center 401

    St Paul, MN 551305302

    Phone: (651) 254-7980

    Fax: (651) 254-7969

    Type: Location

  • 550, Main Street, New Brighton, Ramsey County, Minnesota, 55112, United States

    SUITE 190

    NEW BRIGHTON, MN 55112

    Phone: (612) 326-7575

    Fax: (612) 454-2430

    Type: Mailing

  • Hudson Road, Woodbury, Washington County, Minnesota, 55042, United States

    SUITE 220

    WOODBURY, MN 55125

    Phone: (651) 925-8200

    Fax: (651) 925-8201

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-13

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
I20110413000868IAddiction MedicineMNTBD

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 55130)

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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: 7416259718View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm VICTORIA M ELMER (MD)'s NPI?
Yes. VICTORIA M ELMER (MD) is listed with NPI 1235192709 in the public NPI dataset.
Does CMS list VICTORIA M ELMER (MD) as active?
Yes — VICTORIA M ELMER (MD) is active in the NPI listing used on this page.
What healthcare role does VICTORIA M ELMER (MD) hold?
Scheduling teams often label VICTORIA M ELMER (MD) under Addiction Medicine (Psychiatry & Neurology) Physician. Clinical services aligned with this taxonomy classification.
Where is VICTORIA M ELMER (MD) based?
VICTORIA M ELMER (MD) is tied to St Paul, Minnesota in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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