Individual provider Active NPI

Mevhibe Meral Atay, N.P., PHD

  • Nurse Practitioner
  • Chaska, MN
National Provider Identifier
1104224666
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2792 Issued in MN
Practice address
111 Hundertmark Rd Ste 440
Chaska, MN 55318-1460
Phone
(952) 856-4033
Fax
(952) 856-4034
NPI assigned
Dec 16, 2014
Last updated
Mar 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2792 MN Primary
Adult Health Nurse Practitioner 363LA2200X 162274-6 MN

Addresses

Primary practice location

111 Hundertmark Rd Ste 440
Chaska, MN 55318-1460

Mailing address

500 S Maple St
Attn: Medical Staff Office
Waconia, MN 55387-1791
Phone (952) 442-2191

Other identifiers 1

IdentifierTypeStateIssuer
1104224666MedicaidMN

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
I20150609000019 MN Practitioner - Nurse Practitioner 9436470051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

111 Hundertmark Rd
Suite 220
Chaska, MN 55318-1197
Phone (952) 856-4001

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

916 Saint Peter Ave E
Delano, MN 55328-2813
Phone (952) 442-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
162274-6MNMDAdult Health Nurse Practitioner
2792MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Premier OBGYN of Minnesota PLLC CurrentSince Mar 9, 2020 Accepting new patients
Ridgeview Medical Center CurrentSince Mar 9, 2020 Accepting new patients
Allina Health System CurrentSince Sep 12, 2015 Accepting new patients
Allina Health System CurrentSince Sep 12, 2015 Accepting new patients
Ridgeview Medical Center Past Accepting new patients

Locations

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 330
Chaska, MN 55318
Phone (952) 856-4033

111 Hundertmark Rd
Ste 440
Chaska, MN 55318
Phone (952) 249-2000

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

255 Smith Ave N
Ste 100
Saint Paul, MN 55102
Phone (651) 241-5000

255 Smith Ave N
Ste 200
Saint Paul, MN 55102
Phone (651) 726-2766

360 Sherman St
Ste 160
Saint Paul, MN 55102
Phone (651) 241-7200

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

500 S Maple St
Ofc
Waconia, MN 55387

Organizations & group practices 7

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1104224666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S MAPLE ST",
            "address_2": "ATTN: MEDICAL STAFF OFFICE",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871791",
            "telephone_number": "952-442-2191",
            "fax_number": "952-442-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HUNDERTMARK RD STE 440",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181460",
            "telephone_number": "952-856-4033",
            "fax_number": "952-856-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATAY",
        "first_name": "MEVHIBE",
        "middle_name": "MERAL",
        "credential": "N.P., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "2792",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "162274-6",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104224666",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

Verify at the official NPI Registry.