Individual provider Active NPI

Meilyn Natali Santamaria, PMHNP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1720859226
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11692 Issued in MN
Practice address
2115 Cedar Ave S
Minneapolis, MN 55404-3102
Phone
(651) 392-7840
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2457712 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11692 MN Primary

Addresses

Primary practice location

2115 Cedar Ave S
Minneapolis, MN 55404-3102

Mailing address

2115 Cedar Ave S
Minneapolis, MN 55404-3102
Phone (952) 826-8475

Other practice location 1

9400 Zane Ave N
Brooklyn Park, MN 55443-1814
Phone (952) 826-8475

Other practice location 2

13603 80th Cir N
Maple Grove, MN 55369-8961
Phone (763) 274-3120

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906000800 MN Practitioner - Nurse Practitioner 3971043894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

992 Inwood Ave N
Oakdale, MN 55128-6625

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2457712MNMDPsychiatric/Mental Health Registered Nurse
11692MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Community Health Services, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Optimal Brain MN, PLLC CurrentSince Jul 15, 2025 Accepting new patients
Southside Community Health Services, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Integrative Health, LLC CurrentSince Jul 15, 2025 Accepting new patients
Family Support Services Inc. CurrentSince Oct 6, 2025 Accepting new patients
Nystrom & Associates, LTD CurrentSince Oct 6, 2025 Accepting new patients

Locations

13603 80th Cir N
Maple Grove, MN 55369
Phone (763) 274-3120

4243 4th Ave S
Minneapolis, MN 55409
Phone (612) 821-2003

324 E 35th St
Minneapolis, MN 55408
Phone (612) 827-7181

150 3rd Ave S
Minneapolis, MN 55401
Phone (612) 472-5915

992 Inwood Ave N
Saint Paul, MN 55128
Phone (612) 842-9814

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1720859226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043102",
            "telephone_number": "952-826-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043102",
            "telephone_number": "651-392-7840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 Zane Ave N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554431814",
            "country_code": "US",
            "telephone_number": "952-826-8475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13603 80th Cir N",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553698961",
            "country_code": "US",
            "telephone_number": "763-274-3120",
            "fax_number": "763-274-3121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTAMARIA",
        "first_name": "MEILYN",
        "middle_name": "NATALI",
        "credential": "PMHNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2457712",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "11692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.