Active NPI
Carla Marie Mehelich-Ubben, PA-C
- Physician Assistant
- Albert Lea, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9317
- Practice address
- 404 W Fountain St
Albert Lea, MN 56007-2437 - Phone
- (507) 373-2384
- NPI assigned
- Jan 16, 2006
- Last updated
- Dec 13, 2011
- 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 | 9317 | MN | Primary |
Addresses
Primary practice location
404 W Fountain St
Albert Lea, MN 56007-2437
Mailing address
12664 100TH St
Sheffield, IA 50475-9003
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 1St Dr NW
Austin, MN 55912-2941
Phone (507) 433-7351
404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
Interoperability endpoints
- cmehelichubben89344@ehrdirect.mayoclinicmsg.org
Organizations & group practices 3
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.
-
dba Mayo Clinic Health System-Albert Lea and Austin
- Multi-Specialty Clinic/Center
- Albert Lea, MN
- NPI 1891701637
-
dba Mayo Clinic Health System-Red Wing
- Multi-Specialty Clinic/Center
- Red Wing, MN
- NPI 1114453883
-
dba Mayo Clinic Health System Pharmacy - Cannon Falls
- Clinic Pharmacy
- Cannon Falls, MN
- NPI 1699597468
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mayo Clinic Health System-Albert Lea and Austin
- General Acute Care Hospital
- Albert Lea, MN
- NPI 1346258100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1619956885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12664 100TH ST",
"city": "SHEFFIELD",
"state": "IA",
"postal_code": "504759003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W FOUNTAIN ST",
"city": "ALBERT LEA",
"state": "MN",
"postal_code": "560072437",
"telephone_number": "507-373-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHELICH-UBBEN",
"first_name": "CARLA",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-16",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "9317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albert Lea, MN
- Mayo Clinic Health System-Southeast Minnesota Region (Fountain Centers)
- Mayo Clinic Hospital-Rochester
- Mayo Foundation for Medical Education & Research (Mayo Clinic Store-Albert Lea)
- Craig Manwell McCormick, O.D.
- Barbara Jo Meek-Thue, R.N. C.N.P.
- Mercy Health Services- Iowa Corp (MercyOne Albert Lea Home Medical Shop)
- Angela L Meyer, O.T.
- Craig Meyer, PTA
- Stephanie Kay Meyer, DNP
- MH Health Care Services, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.