Active NPI
Melinda R. Ninefeldt, P.A.-C.
- Physician Assistant
- Hinckley, MN
National Provider Identifier
1487657987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9184
- Practice address
- 206 Main St. E.
Hinckley, MN 55037 - Phone
- (320) 384-6618
- Fax
- (320) 384-6635
- NPI assigned
- May 27, 2005
- Last updated
- Apr 19, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9184 | MN | Primary |
Addresses
Primary practice location
206 Main St. E.
Hinckley, MN 55037
Mailing address
PO Box 116
Cromwell, MN 55726-0116
Phone (218) 644-3811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 620586100 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9184 | MN | MD | Physician Assistant |
Interoperability endpoints
- melinda.ninefeldt.1@13291.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492560000000",
"number": "1487657987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116",
"city": "CROMWELL",
"state": "MN",
"postal_code": "557260116",
"telephone_number": "218-644-3811",
"fax_number": "218-644-3813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 MAIN ST. E.",
"city": "HINCKLEY",
"state": "MN",
"postal_code": "55037",
"telephone_number": "320-384-6618",
"fax_number": "320-384-6635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NINEFELDT",
"first_name": "MELINDA",
"middle_name": "R.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-27",
"last_updated": "2017-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "9184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "620586100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hinckley, MN
- Taylor Rae Mielke, RDH, MDT
- Dominic Luke Milano, DDS
- Mille Lacs Band of Ojibwe Indians (Hinckley DIII Alcohol & Drug Program)
- Modern Dental Professionals MN PC (Midwest Dental - Hinckley)
- Moose Lake Eye Care, LLC (Northern Minnesota Eye Care, LLC)
- Danielle D Olson, D.D.S.
- Alexis Jade Petite
- Pine Medical Center (Essentia Health Hinckley Clinic)
- Pine Medical Center (Essentia Health Hinckley Clinic)
- Plum Behavioral Health Services LLC (Plum Behavioral Health Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.