Melanie Nicole Troumbly, APRN, CNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

8156 Issued in MN

Practice address

215 SE 2ND Ave
Grand Rapids, MN 55744-3615

Phone

(218) 313-1329

NPI assigned

Apr 26, 2021

Last updated

Apr 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northland Counseling Center IncGroup PAC ID 1153389242, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Deer River Hospital, Deer River, MN, CCN 241360
• Grand Itasca Clinic and Hospital Hospital, Grand Rapids, MN, CCN 240064

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Northland Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Grand Rapids, MN
  • NPI 1164610986
  Medicare reassignment Care Compare group NPD

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

• Grand Itasca Clinic and Hospital

  • General Acute Care Hospital
  • Grand Rapids, MN
  • NPI 1669426631
  Care Compare affiliation Name & address match
• Deer River Healthcare Center, Inc

  dba Essentia Health Emergency Medical Services-Deer River

  • Ambulance
  • Deer River, MN
  • NPI 1295266898

  Hospital

  Care Compare affiliation
• Deer River Healthcare Center, Inc

  dba Essentia Health Deer River Clinic

  • Critical Access Hospital Clinic/Center
  • Deer River, MN
  • NPI 1518904887
  Care Compare affiliation
• Deer River Healthcare Center, Inc.

  dba Essentia Health Grand Rapids Clnic

  • Critical Access Hospital Clinic/Center
  • Grand Rapids, MN
  • NPI 1093152423
  Care Compare affiliation
• Deer River Healthcare Center, Inc.

  dba Essentia Health Deer River

  • Medicare Defined Swing Bed Hospital Unit
  • Deer River, MN
  • NPI 1215041199
  Care Compare affiliation
• Deer River Healthcare Center, Inc.

  dba Essentia Health Deer River

  • Critical Access Hospital
  • Deer River, MN
  • NPI 1225049018
  Care Compare affiliation

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1447832746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SE 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443615",
            "telephone_number": "218-313-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SE 2ND AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443615",
            "telephone_number": "218-313-1329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 SE 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MN",
            "postal_code": "557444201",
            "country_code": "US",
            "telephone_number": "218-313-1312 x315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROUMBLY",
        "first_name": "MELANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Eileen Tofte, MD
• Toonstra Psychological Services, PC
• Jeffrey M. Toonstra, MS, LP
• Elly Trepman, MD
• Laurie Beth Troumbly, MS, LPCC
• Diane Elizabeth Tyler
• Kelsey Unger, LPCC
• Philip Michael Valdez, LMFT
• Jean Vaneps, CNP
• Peter Vasconcellos, DO

• Psychiatric/Mental Health Nurse Practitioner in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.