Carla Marie Mehelich-Ubben, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9317 Issued in MN

Practice address

404 W Fountain St
Albert Lea, MN 56007-2437

Phone

(507) 373-2384

NPI assigned

Jan 16, 2006

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

Other identifiers 1

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

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mayo Clinic Health System-Southeast Minnesota RegionGroup PAC ID 4385556703, 550 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mayo Clinic Health System - Albert Lea and Austin Hospital, Albert Lea, MN, CCN 240043

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmehelichubben89344@ehrdirect.mayoclinicmsg.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mayo Clinic Health System-Southeast Minnesota Region

  • Multi-Specialty Clinic/Center
  • Albert Lea, MN
  • NPI 1891701637

  MN

  Medicare reassignment Care Compare group
• Mayo Clinic Health System-Southeast Minnesota Region

  • Multi-Specialty Clinic/Center
  • Red Wing, MN
  • NPI 1114453883
  Care Compare group NPD
• Mayo Clinic Health System-Southeast Minnesota Region

  • Clinic Pharmacy
  • Cannon Falls, MN
  • NPI 1699597468
  Care Compare group NPD
• Mayo Clinic Health System-Southeast Minnesota Region

  • Critical Access Hospital
  • Cannon Falls, MN
  • NPI 1063435410
  Care Compare group
• Mayo Clinic Health System-Southeast Minnesota Region

  • General Acute Care Hospital
  • Red Wing, MN
  • NPI 1164400024
  Care Compare group
• Mayo Clinic Health System-Southeast Minnesota Region

  • Durable Medical Equipment & Medical Supplies
  • Austin, MN
  • NPI 1265462279
  Care Compare group
• Mayo Clinic Health System-Southeast Minnesota Region

  • General Acute Care Hospital
  • Albert Lea, MN
  • NPI 1346258100
  Care Compare group
• Mayo Clinic Health System-Southeast Minnesota Region

  • Medicare Defined Swing Bed Hospital Unit
  • Cannon Falls, MN
  • NPI 1790791077
  Care Compare group
• Mayo Clinic Health System-Southeast Minnesota Region

  • Community/Retail Pharmacy
  • Albert Lea, MN
  • NPI 1881774826
  Care Compare group

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

• Mayo Clinic Health System-Southeast Minnesota Region

  • General Acute Care Hospital
  • Albert Lea, MN
  • NPI 1346258100

  Hospital

  Care Compare affiliation

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153450500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayo Clinic Health System-Southeast Minnesota Region
• Mayo Clinic Hospital-Rochester
• Mayo Foundation for Medical Education & Research
• Craig Manwell McCormick, O.D.
• Barbara Jo Meek-Thue, R.N. C.N.P.
• Mercy Health Services- Iowa Corp
• Angela L Meyer, O.T.
• Craig Meyer, PTA
• Stephanie Kay Meyer, DNP
• MH Health Care Services, PC

• All providers in Albert Lea, MN
• Physician Assistant in Minnesota

• 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.

Verify at the official NPI Registry.