Individual provider Active NPI

Chad Allan Mehling

  • Certified Registered Nurse Anesthetist
  • Duluth, MN
National Provider Identifier
1578762399
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R129354-4 Issued in MN
Practice address
400 E 3Rd St
Duluth, MN 55805-1951
Phone
(218) 786-4150
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R129354-4 MN Primary

Addresses

Primary practice location

400 E 3Rd St
Duluth, MN 55805-1951

Mailing address

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-4150

Other identifiers 1

IdentifierTypeStateIssuer
280037000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071022000430 MN Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183710114 Reassigns benefits to 7 organizations
I20080919000322 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183710114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, shared by 25 NPIs, 1,135 clinicians
St Josephs Medical CenterGroup PAC ID 8224948443, 238 clinicians
Center for Pain Management, P.a.Group PAC ID 8820008832, 15 clinicians

Practice addresses (Care Compare)

1101 9TH St N
Virginia, MN 55792-2329
Phone (218) 741-0150

3500 Tower Ave
Superior, WI 54880-5335
Phone (715) 395-5454

402 E 2ND St
Duluth, MN 55805-1906
Phone (218) 786-4000

523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 828-7400

804 23Rd St S
Sartell, MN 56377-4705
Phone (320) 230-7788

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1485MNMDGenetic Counselor (M.S.)
R129354-4MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Brainerd Lakes Surgery Center L L C CurrentSince Feb 3, 2023 Accepting new patients
St. Joseph's Medical Center Current Accepting new patients
St Joseph's Medical Center CurrentSince Jan 16, 2023 Accepting new patients
St. Joseph's Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jan 16, 2023 Accepting new patients
Essentia Health Moose Lake CurrentSince Oct 7, 2021 Accepting new patients
Northland Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2018 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Aug 13, 2007 Accepting new patients
Northern Pines Medical Center CurrentSince Mar 13, 2011 Accepting new patients
The Duluth Clinic, LTD Nurse Anesthetist, Certified Registered CurrentSince May 5, 2012 Accepting new patients
Moose Lake Community Hospital District Current Accepting new patients
The Duluth Clinic, LTD Current Accepting new patients
Essentia Health Moose Lake CurrentSince Oct 7, 2021 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
Center for Pain Management, P.a. CurrentSince Jan 15, 2025 Accepting new patients
Northern Pines Medical Center CurrentSince Mar 13, 2011 Accepting new patients
The Duluth Clinic, LTD Nurse Anesthetist, Certified Registered CurrentSince Aug 13, 2007 Accepting new patients

Locations

5211 Highway 110
Aurora, MN 55705
Phone (218) 229-1010

13114 Isle Dr
Baxter, MN 56425
Phone (218) 822-2400

15620 Edgewood Dr
Ste 200
Brainerd, MN 56401
Phone (218) 270-3111

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

10 5th St SE
Cook, MN 55723
Phone (218) 626-3441

2118 London Rd
Duluth, MN 55812
Phone (218) 481-7812

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481

14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779

804 23rd St S
Sartell, MN 56377
Phone (320) 230-7788

1101 9th St N
Virginia, MN 55792
Phone (218) 305-0000

400 10th St E
Waconia, MN 55387

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1578762399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHLING",
        "first_name": "CHAD",
        "middle_name": "ALLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "R129354-4",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280037000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.