Kathryn A Mell, MD
Individual provider Active NPI Family Medicine Physician · Walker, MN
NPI 1508186362 · NPPES record last updated Jun 28, 2023
Key facts
- NPI
- 1508186362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 57000 (MN)
- Practice address
- 614 Michigan Ave W
Walker, MN 56484-2276 - Phone
- (218) 547-7700
- Fax
- (218) 547-7729
- NPI assigned
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of North Dakota School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Grand Itasca Clinic and Hospital
Sanford Health of Northern Minnesota
Practice addresses (Care Compare)
1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401
1611 Anne St NW
Bemidji, MN 56601-5114
Phone (218) 333-5000
614 Michigan Ave W
Walker, MN 56484-2276
Phone (218) 547-7700
Hospital & facility affiliations
- Grand Itasca Home Care
- Aveanna Home Health
- Grand Itasca Clinic and Hospital
- Sanford Bemidji Medical Center
- Grand Village
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.56 of 100
- Quality
- 74.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.16
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 88.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130924000957 | MN | Practitioner - Family Practice | 5698929057 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5628 | AK | MD | Family Medicine Physician |
| 57000 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health of Northern Minnesota | Family Medicine | Current | Accepting new patients |
| Sanford Health of Northern Minnesota | Family Medicine | Current |
Accepting new patients |
| Grand Itasca Clinic and Hospital | Current |
Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Current |
Accepting new patients |
Locations
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
614 Michigan Ave W
Walker, MN 56484
Phone (218) 547-3938
Interoperability endpoints
- kmell1607762@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5628 | AK | |
| Family Medicine Physician | 207Q00000X | 57000 | MN | Yes |
Addresses
Primary practice location
614 Michigan Ave W
Walker, MN 56484-2276
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
115 10th Ave NE
Essentia Health Deer River Clinic
Deer River, MN 56636-8795
Phone (218) 246-8275
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD1542 | Medicaid | AK | |
| 1508186362 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmell8521397@direct.sanfordhealth.org |
Other providers in Walker, MN
- Lakes Opioid Treatment Program, Inc
- Annika Marit Lien
- Catherine Joyce Lowe
- Tamera Lyn Mahaffey
- May Creek Lodge Inc.
- Michael T. Pederson, DDS
- Katherine Marie Miller
- Vanessa Jane Miller
- Mirabilis Health
- Michael R Noonan
All providers in Walker, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.