MRS. MELINA DOCTO CANLAS KOCH (NP) – Adult Health Nurse Practitioner, NPI 1376716407

MRS. MELINA DOCTO CANLAS KOCH (NP) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2007007786-21 (MN). The NPI Number for MRS. MELINA DOCTO CANLAS KOCH (NP) is 1376716407

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MELINA DOCTO CANLAS KOCH (NP)
NPI
1376716407
Phone
(952) 883-5375
Address
8170 33RD AVE S
Enumeration Date
9 April 2008
Last Update Date
1 December 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512912848
Graduation Year
2015 (11 years ago)
PAC ID
2163580580
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20081028000857
Address ID
MN551305302SA435XXBLVD300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MRS. MELINA DOCTO CANLAS KOCH (NP)

  • 33rd Avenue South, Wenonah, Minneapolis, Hennepin County, Minnesota, 55417, United States

    MS21110Q

    MINNEAPOLIS, MN 554254516

    Phone: (952) 883-5375

    Fax: (651) 254-7676

    Type: Mailing

  • 401 PHALEN BLVD - MS 41102D

    HEALTHPARTNERS SPECIALTY CENTER 401

    ST. PAUL, MN 551305302

    Phone: (651) 254-7670

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $103.

Total Amount is formed as General ($103) + Research ($0) + Ownership ($0) = $103.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($103).

Total Amount

$103

General + Research + Ownership

Payments

1

Total payment records

General Amount

$103

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20081028000857INurse PractitionerMNTBD
I20191021002288IQualified Speech Language PathologistNCTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes138132$0
99215Established patient office or other outpatient visit, 40-54 minutes4444$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. MELINA DOCTO CANLAS KOCH (NP)?
NPI 1376716407 is assigned to MRS. MELINA DOCTO CANLAS KOCH (NP) under the national enumeration system.
Is MRS. MELINA DOCTO CANLAS KOCH (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. MELINA DOCTO CANLAS KOCH (NP) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for MRS. MELINA DOCTO CANLAS KOCH (NP). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. MELINA DOCTO CANLAS KOCH (NP)?
The page summarizes Minneapolis, Minnesota for MRS. MELINA DOCTO CANLAS KOCH (NP); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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