Melissa Shidell

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R184599-2 Issued in MN

Practice address

10150 Niagara LN N Ste 100
Maple Grove, MN 55369-7588

Phone

(763) 297-9700

NPI assigned

Sep 1, 2026

Last updated

Sep 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1083522619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13711 MARIGOLD WAY",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553748854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 NIAGARA LN N STE 100",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697588",
            "telephone_number": "763-297-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIDELL",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R184599-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole N Sheffer, OD
• Gregory Robert Sheldon, PT, ATC
• Nene Sheriff
• April M Sherren
• Alexis Jean Sherrick, AUD
• Lillian Musungu Shiraku
• Anastasiya Shtulman, PHARM. D.
• Barbara Jean Sieracki
• Michael Paul Sievert, DDS
• Krista Lynn Siewert, D.P.T

• Registered Nurse in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.