Individual provider Active NPI

Melinda Margaret McKay, DNP, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pine City, MN
National Provider Identifier
1255945903
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7694 Issued in MN
Practice address
1425 Main St N
Pine City, MN 55063-6026
Phone
(320) 629-7505
Fax
(320) 225-3507
NPI assigned
Sep 1, 2020
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7694 MN Primary

Addresses

Primary practice location

1425 Main St N
Pine City, MN 55063-6026

Mailing address

1425 Main St N
Pine City, MN 55063-6026
Phone (203) 679-1313

Other practice location 1

620 Sandy Ln
Hinckley, MN 55037-8381
Phone (320) 384-6189

Other practice location 2

301 Highway 65 S
Mora, MN 55051-1899
Phone (320) 225-3317

Other names 1

  • Melinda Margaret Hauer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmckay488922@excellian.direct.allina.com Direct

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
I20201201000435 MN Practitioner - Nurse Practitioner 8325459142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians

Practice addresses (Care Compare)

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-6999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7694MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Jun 10, 2023 Accepting new patients
Welia Health Current Accepting new patients
Fairview Express Care CurrentSince Jun 10, 2023 Accepting new patients
Welia Health CurrentSince Apr 22, 2022 Accepting new patients

Locations

620 Sandy Ln
Hinckley, MN 55037
Phone (320) 384-6189

2450 Riverside Ave
Ste F140
Minneapolis, MN 55454
Phone (651) 464-4847

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

1425 Main St N
Pine City, MN 55063
Phone (320) 322-5141

5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611

Interoperability endpoints

  • Direct secure messaging: mmckay783870@fairview.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1255945903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MAIN ST N",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550636026",
            "telephone_number": "203-679-1313",
            "fax_number": "320-629-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MAIN ST N",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550636026",
            "telephone_number": "320-629-7505",
            "fax_number": "320-225-3507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Sandy Ln",
            "address_purpose": "LOCATION",
            "city": "Hinckley",
            "state": "MN",
            "postal_code": "550378381",
            "country_code": "US",
            "telephone_number": "320-384-6189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Highway 65 S",
            "address_purpose": "LOCATION",
            "city": "Mora",
            "state": "MN",
            "postal_code": "550511899",
            "country_code": "US",
            "telephone_number": "320-225-3317",
            "fax_number": "320-225-3507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "MELINDA",
        "middle_name": "MARGARET",
        "credential": "DNP, APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmckay488922@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "301 Highway 65 S",
            "city": "Mora",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550511899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELINDA",
            "last_name": "HAUER",
            "middle_name": "MARGARET",
            "credential": "RN, BSN, PHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pine City, MN

Sources for this page

Verify at the official NPI Registry.