NPIMap

Individual provider Active NPI

Melee E Thao, PA

  • Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1679513709
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14560 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-3456
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14560 MN Primary
Physician Assistant 363A00000X 1931 WI

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

111 E Wisconsin Ave
Milwaukee, WI 53202-4815
Phone (414) 290-6700

Other practice location 1

927 Churchill St W
Stillwater, MN 55082-6605
Phone (651) 430-4529

Other practice location 2

425 Wind Ridge Dr
Wausau, WI 54401-4149
Phone (715) 675-3391

Other practice location 3

14655 Galaxie Ave
Apple Valley, MN 55124-8602
Phone (651) 241-3779

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mthao9913@ewd.direct.HSHS.org Direct
Direct Messaging Address mthao9913@ewd.direct.hshs.org Direct
Direct Messaging Address mthao657575@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060103000476 WI Practitioner - Physician Assistant 2466474572 Reassigns benefits to 6 organizations
I20231016001723 MN Practitioner - Physician Assistant 2466474572 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Welia HealthGroup PAC ID 6709295496, 60 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Regions HospitalGroup PAC ID 3173436755, 215 clinicians

Practice addresses (Care Compare)

1425 Main St N
Pine City, MN 55063-6026
Phone (320) 629-7505

14655 Galaxie Ave
Apple Valley, MN 55124-8602
Phone (651) 241-3779

1880 N Frontage Rd
Hastings, MN 55033-2687
Phone (612) 775-6200

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-2164

701 Dellwood St S
Cambridge, MN 55008-1920
Phone (763) 688-8700

755 Crossroads Campus Dr NE
Buffalo, MN 55313-5074
Phone (763) 684-6300

8675 Valley Creek Rd
Woodbury, MN 55125-2337
Phone (651) 241-3000

Hospital & facility affiliations

  • Welia Health Hospital, Mora, MN, CCN 241367
  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106
  • Hudson Hospital Hospital, Hudson, WI, CCN 521335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14560MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Nov 1, 2024 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Sep 20, 2023 Accepting new patients
Cuyuna Regional Medical Center CurrentSince Feb 1, 2025 Accepting new patients
Regions Hospital CurrentSince Sep 20, 2023 Accepting new patients
Hudson Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Welia Health CurrentSince Mar 28, 2024 Accepting new patients
Allina Health System CurrentSince Nov 1, 2024 Accepting new patients
Black River Health Inc CurrentSince Sep 11, 2017 Accepting new patients
Welia Health CurrentSince Mar 28, 2024 Accepting new patients
Westfields Hospital, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Welia Health Current Accepting new patients
Lakeview Memorial Hospital Association Inc. CurrentSince Sep 20, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Mercy Health System Corporation PastSince Jan 2, 2022 Accepting new patients
Aspirus Specialists, Inc. Past Accepting new patients
Black River Health Inc Past Accepting new patients
Health Dynamics, LLC Physician Assistant PastSince Jan 2, 2022 Accepting new patients
Aspirus Specialist Inc. Past Accepting new patients
Ihc-St. Francis Emergency Physicians, LLC Past Accepting new patients
Allina Health System Past Accepting new patients
Hudson Hospital, Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

111 17th Ave E
Ste 1
Alexandria, MN 56308
Phone (320) 759-4326

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

320 E Main St
Crosby, MN 56441
Phone (218) 546-7000

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

1021 Bandana Blvd E
Ste 100
Saint Paul, MN 55108
Phone (877) 414-2533

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

Interoperability endpoints

  • Direct secure messaging: mthao657575@excellian.direct.allina.com
  • Direct secure messaging: mthao9913@ewd.direct.hshs.org

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 11

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1679513709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WISCONSIN AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024815",
            "telephone_number": "414-290-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 Churchill St W",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826605",
            "country_code": "US",
            "telephone_number": "651-430-4529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 Wind Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014149",
            "country_code": "US",
            "telephone_number": "715-675-3391",
            "fax_number": "715-675-4253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14655 Galaxie Ave",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551248602",
            "country_code": "US",
            "telephone_number": "651-241-3779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAO",
        "first_name": "MELEE",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14560",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mthao9913@ewd.direct.HSHS.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "111 E Wisconsin Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532024815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mthao9913@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "111 E Wisconsin Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532024815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mthao657575@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "14655 Galaxie Ave",
            "city": "Apple Valley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551248602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.