Individual provider Active NPI

Melissa Beth Cummings, APN-FNP-C

  • Family Nurse Practitioner
  • Orono, MN
National Provider Identifier
1063287126
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11036 Issued in MN
Practice address
2765 Kelley Pkwy Ste 100
Orono, MN 55356-5801
Phone
(612) 293-7822
Fax
(612) 230-8769
NPI assigned
Nov 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11036 MN Primary

Addresses

Primary practice location

2765 Kelley Pkwy Ste 100
Orono, MN 55356-5801

Mailing address

15655 37TH Ave N Ste 100
Plymouth, MN 55446-4003
Phone (612) 293-7822

Other practice location 1

50 Central Ave
Osseo, MN 55369-1241
Phone (612) 293-7822

Other practice location 2

15655 37th Ave N Ste 100
Plymouth, MN 55446-4003
Phone (612) 293-7822

Other practice location 3

5109 36th Ave N
Crystal, MN 55422-2007
Phone (612) 293-7822

Other practice location 4

9825 Hospital Dr Ste 300
Maple Grove, MN 55369-4768
Phone (612) 293-7822

Other names 1

  • Melissa Heiniemi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260612000522 MN Practitioner - Nurse Practitioner 7719459510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10802 Quail Plaza Dr
Suite 112
Oklahoma City, OK 73120-3116

17611 Indus St NE
Forest Lake, MN 55025-8499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11036MNMDMedical Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1063287126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15655 37TH AVE N STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464003",
            "telephone_number": "612-293-7822",
            "fax_number": "612-230-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 KELLEY PKWY STE 100",
            "city": "ORONO",
            "state": "MN",
            "postal_code": "553565801",
            "telephone_number": "612-293-7822",
            "fax_number": "612-230-8769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Osseo",
            "state": "MN",
            "postal_code": "553691241",
            "country_code": "US",
            "telephone_number": "612-293-7822",
            "fax_number": "612-230-8769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15655 37th Ave N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554464003",
            "country_code": "US",
            "telephone_number": "612-293-7822",
            "fax_number": "612-230-8769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5109 36th Ave N",
            "address_purpose": "LOCATION",
            "city": "Crystal",
            "state": "MN",
            "postal_code": "554222007",
            "country_code": "US",
            "telephone_number": "612-293-7822",
            "fax_number": "612-230-8769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9825 Hospital Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694768",
            "country_code": "US",
            "telephone_number": "612-293-7822",
            "fax_number": "612-230-8769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "MELISSA",
        "middle_name": "BETH",
        "credential": "APN-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-20",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "HEINIEMI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orono, MN

Sources for this page

Verify at the official NPI Registry.