GREGORY S MELLESMOEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1689633919

Certified Registered Nurse Anesthetist

GREGORY S MELLESMOEN (CRNA) is a healthcare provider. based in Maple grove, Minnesota. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. R0779700 (MN). The NPI Number for GREGORY S MELLESMOEN (CRNA) is 1689633919

Main info

Male

46 Years Of Experience

Accepts Medicare Assignment

Name

GREGORY S MELLESMOEN (CRNA)

NPI

1689633919

Phone

(763) 201-8191

Address

9645 GROVE CIR N STE 250

Enumeration Date

23 March 2006

Last Update Date

13 June 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7632018191

Graduation Year

1980 (46 years ago)

PAC ID

1254379662

Group Practice PAC ID

4284879701

Professional Enrollment ID

I20050418000460

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for GREGORY S MELLESMOEN (CRNA)

Grove Circle North, The Grove, Maple Grove, Hennepin County, Minnesota, 55311-1566, United States
MAPLE GROVE, MN 553694466
Phone: (763) 201-8191
Fax: (763) 201-8192
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 55369)

Loading plans...

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: 4284879701View full group profile

Name	Specialty	State
SHIRLEY J STEELE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MN
GARY K COZINE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MN
WILLIAM PUHL	Certified Registered Nurse Anesthetist (Crna)	MN
SHELLY E COZINE (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MN
JEFFREY MERRIAM (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MN
NATALIE M SALDEN (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MN
CAROL M ZERFAS (CRNA)	-	MN
ALBERTO VILLAMIEL (CRNA)	Certified Registered Nurse Anesthetist (Crna)	MN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do I look up GREGORY S MELLESMOEN (CRNA) by NPI?

Use NPI 1689633919 when you need to reference GREGORY S MELLESMOEN (CRNA) in forms, claims, or directories.

Is GREGORY S MELLESMOEN (CRNA)'s NPI currently valid?

The extract we use shows GREGORY S MELLESMOEN (CRNA) as active.

Does GREGORY S MELLESMOEN (CRNA) list a primary specialty?

If you are matching referrals, note Certified Registered Nurse Anesthetist for GREGORY S MELLESMOEN (CRNA). Clinical services aligned with this taxonomy classification.

Where does public data place GREGORY S MELLESMOEN (CRNA)?

The snapshot lists Maple Grove, Minnesota for GREGORY S MELLESMOEN (CRNA); download NPPES for the complete set.

Is this NPI for an individual or an organization?

This listing corresponds to an Individual Provider.