Sheri Michelle Mealman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

14567 Issued in MN

Practice address

1905 Wayzata Blvd
Wayzata, MN 55391-5001

Phone

(952) 222-8149

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

Yes

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

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ecker Dermatology PAGroup PAC ID 3375995343, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: smealman@eckerderm.emadirect.md

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.

• Ecker Dermatology PA

  • Dermatology Physician
  • Wayzata, MN
  • NPI 1598538258
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1275213316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12909 COUNTY ROAD 5 APT 304",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372240",
            "telephone_number": "305-200-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 WAYZATA BLVD",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553915001",
            "telephone_number": "952-222-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEALMAN",
        "first_name": "SHERI",
        "middle_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "14567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E McLaughlin, PA-C
• Connor McManus
• Howard McMillan, M.A.
• Maureen R McNeal, LICSW,LMFT
• Mary McPhee, LSW
• Medlife Solutions
• Mary Ellen Meighan, MD
• Melissa Patterson Therapy PLLC (Boulevard Therapy)
• Bethanie Roue Mellum, DC
• Shelly Melroe

• Medical Physician Assistant in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Medical Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.