MELEE E THAO (PA) – Physician Assistant, NPI 1679513709
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for MELEE E THAO (PA)
927 Churchill St W
Stillwater, MN 550826605
Phone: (651) 430-4529
Type: Location
425 Wind Ridge Dr
Wausau, WI 544014149
Phone: (715) 675-3391
Fax: (715) 675-4253
Type: Location
14655 Galaxie Ave
Apple Valley, MN 551248602
Phone: (651) 241-3779
Type: Location
640 JACKSON ST
SAINT PAUL, MN 551012502
Phone: (651) 254-3456
Type: Location
7974, UW Health Court, Discovery Springs, City of Middleton, Dane County, Wisconsin, 53562, United States
MIDDLETON, WI 535625531
Phone:
Type: Mailing
425 Windridge Drive, 425, Windridge Drive, Wausau, Marathon County, Wisconsin, 54401, United States
WAUSAU, WI 544014149
Phone: (715) 675-3391
Fax: (715) 675-4253
Type: Location
111 E WISCONSIN AVE
MILWAUKEE, WI 532024815
Phone: (414) 290-6700
Type: Mailing
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: 2023-10-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060103000476 | I | Physician Assistant | WI | TBD |
| I20231016001723 | I | Physician Assistant | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 119 | 115 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 97 | 93 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 36 | 35 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 21 | 20 | $0 |
Insurance plans in this area (ZIP 55082)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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