Active NPI
Matthew Mesnik, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Blaine, MN
National Provider Identifier
1124060272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 29871
- Practice address
- 10190 Baltimore St NE
Blaine, MN 55449-5056 - Phone
- (763) 795-9363
- Fax
- (796) 379-5936
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 29871 | MN | Primary |
Addresses
Primary practice location
10190 Baltimore St NE
Blaine, MN 55449-5056
Mailing address
2340 Brookridge Ave
Golden Valley, MN 55422-3304
Phone (763) 541-5337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29871 | MN | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rvision Health of North Dakota PC | Current | Accepting new patients |
Locations
6701 Evenstad Dr N
Ste 100
Maple Grove, MN 55369
Phone (763) 513-4300
706 38th St N
Ste A
Fargo, ND 58102
Phone (701) 893-4557
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.
-
- Primary Care Clinic/Center
- Fargo, ND
- NPI 1033845243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124060272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2340 BROOKRIDGE AVE",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554223304",
"telephone_number": "763-541-5337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10190 BALTIMORE ST NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554495056",
"telephone_number": "763-795-9363",
"fax_number": "796-379-5936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESNIK",
"first_name": "MATTHEW",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MN",
"license": "29871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.