Individual provider Active NPI

Melissa Ann Hill, FNP

  • Family Nurse Practitioner
  • Waconia, MN
National Provider Identifier
1700421211
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5198 Issued in MN
Practice address
212 W Lake St
Waconia, MN 55387-1014
Phone
(651) 603-4565
Fax
(833) 630-0621
NPI assigned
Nov 8, 2019
Last updated
May 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016027219 MN
Family Nurse Practitioner 363LF0000X 5198 MN Primary

Addresses

Primary practice location

212 W Lake St
Waconia, MN 55387-1014

Mailing address

901 Eagle Ridge TRL
Stillwater, MN 55082-9121
Phone (651) 486-8371

Other practice location 1

901 Eagle Ridge Trl
Stillwater, MN 55082-9121
Phone (651) 468-8371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220714001561 MN Practitioner - Nurse Practitioner 9032590500 Reassigns benefits to 2 organizations
I20240806000090 WI Practitioner - Nurse Practitioner 9032590500

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901 Eagle Ridge TRL
Stillwater, MN 55082-9121
Phone (651) 468-8371

Merit-based Incentive Payment System (MIPS)

Final score
97.69 of 100Reported as group
Quality
91.97
Improvement activities
40
Cost
69.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5198MNMDChiropractor
2016027219MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centuries Health LLC CurrentSince Feb 19, 2025 Accepting new patients
Waterside Healthcare & Wellness, LLC Family CurrentSince May 8, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissa.hill.p4@direct.ramseysocialservices.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Senior Friend Home CareCloquet, MN, CCN 247227 Home health agency W-2 Managing Employee (60%)
Operational/Managerial Control (60%)
Mar 13, 2025
Mar 13, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1700421211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 EAGLE RIDGE TRL",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550829121",
            "telephone_number": "651-486-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W LAKE ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871014",
            "telephone_number": "651-603-4565",
            "fax_number": "833-630-0621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Eagle Ridge Trl",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550829121",
            "country_code": "US",
            "telephone_number": "651-468-8371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-08",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "2016027219",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

Verify at the official NPI Registry.