NPIMap

Individual provider Active NPI

Christy Leah Melzark, NP

  • Family Nurse Practitioner
  • Sandstone, MN
National Provider Identifier
1104540012
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9580 Issued in MN
Practice address
707 Lundorff Dr Ste 1
Sandstone, MN 55072-5099
Phone
(320) 245-2250
Fax
(320) 245-2555
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 9580 MN Primary

Addresses

Primary practice location

707 Lundorff Dr Ste 1
Sandstone, MN 55072-5099

Mailing address

PO Box 62
Askov, MN 55704-0062
Phone (320) 279-7287

Other practice location 1

45 Lady Luck Dr
Hinckley, MN 55037-0309
Phone (320) 384-6618

Other practice location 2

4570 Cty. Hwy. 61
Moose Lake, MN 55767-9401
Phone (218) 485-4491

Other names 1

  • Christy Leah Colton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122002381 MN Practitioner - Nurse Practitioner 2062880024 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTD 1,135 clinicians
Pine Medical Center 17 clinicians

Practice addresses (Care Compare)

1413 Hwy 33 S
Cloquet, MN 55720-2626
Phone (218) 337-4000

45 Lady Luck Dr
Hinckley, MN 55037-6419
Phone (320) 279-8600

Hospital & facility affiliations

  • Essentia Health Moose Lake Hospital, Moose Lake, MN, CCN 241350
  • Essentia Health Duluth Hospital, Duluth, MN, CCN 240019
  • Essentia Health Sandstone Hospital, Sandstone, MN, CCN 241309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9580MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Duluth Clinic, LTD CurrentSince Dec 2, 2024 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Essentia Health Moose Lake CurrentSince Dec 2, 2024 Accepting new patients
Pine Medical Center Current Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
Pine Medical Center CurrentSince Dec 2, 2024 Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients
The Duluth Clinic, LTD. CurrentSince Dec 2, 2024 Accepting new patients
Essentia Health Moose Lake Current Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients
Gateway Family Health Clinic, LTD. Family Past Accepting new patients

Locations

1413 Highway 33 S
Cloquet, MN 55720
Phone (218) 337-4000

4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

45 Lady Luck Dr
Hinckley, MN 55037
Phone (320) 384-6166

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

705 Lundorff Dr
Sandstone, MN 55072
Phone (320) 245-2211

603 9th St N
Virginia, MN 55792
Phone (218) 741-3013

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDGJBA

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 4

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": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1104540012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "ASKOV",
            "state": "MN",
            "postal_code": "557040062",
            "telephone_number": "320-279-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LUNDORFF DR STE 1",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550725099",
            "telephone_number": "320-245-2250",
            "fax_number": "320-245-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Lady Luck Dr",
            "address_purpose": "LOCATION",
            "city": "Hinckley",
            "state": "MN",
            "postal_code": "550370309",
            "country_code": "US",
            "telephone_number": "320-384-6618",
            "fax_number": "320-384-6635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4570 Cty. Hwy. 61",
            "address_purpose": "LOCATION",
            "city": "Moose Lake",
            "state": "MN",
            "postal_code": "557679401",
            "country_code": "US",
            "telephone_number": "218-485-4491",
            "fax_number": "218-485-4724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELZARK",
        "first_name": "CHRISTY",
        "middle_name": "LEAH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "9580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "COLTON",
            "middle_name": "LEAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandstone, MN

Sources for this page

Verify at the official NPI Registry.