Individual provider Active NPI

Mechelle A Zima, FNP-C

  • Family Nurse Practitioner
  • Mahnomen, MN
National Provider Identifier
1851267959
Registry record updated Jan 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13582 Issued in MN
Practice address
414 W Jefferson Ave
Mahnomen, MN 56557-4912
Phone
(218) 935-9423
Fax
(218) 216-1923
NPI assigned
Oct 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X F10250456 MN
Family Nurse Practitioner 363LF0000X 13582 MN Primary

Addresses

Primary practice location

414 W Jefferson Ave
Mahnomen, MN 56557-4912

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074
Phone (218) 935-2514

Other practice location 1

410 4th St SW
Mahnomen, MN 56557-4732
Phone (218) 935-2514

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
I20260212001910 MN Practitioner - Nurse Practitioner 7113406802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center Fargo 1,210 clinicians
Sanford Clinic North 9 clinicians

Practice addresses (Care Compare)

1412 Main St
Hawley, MN 56549
Phone (218) 483-3564

410 4TH St NW
Mahnomen, MN 56557-4208
Phone (218) 935-2514

410 4TH St SW
Mahnomen, MN 56557-4732
Phone (218) 835-2514

Hospital & facility affiliations

  • Mahnomen Health Center Hospital, Mahnomen, MN, CCN 240779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F10250456MNMDGeneral Practice Physician
13582MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Feb 1, 2026 Accepting new patients
Sanford Medical Center Fargo CurrentSince Feb 1, 2026 Accepting new patients

Locations

414 W Jefferson Ave
Mahnomen, MN 56557
Phone (218) 935-2511

410 4th St SW
Mahnomen, MN 56557
Phone (218) 835-2514

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.

Hospital & facility affiliations 1

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": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769299200000",
    "number": "1851267959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "218-935-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W JEFFERSON AVE",
            "city": "MAHNOMEN",
            "state": "MN",
            "postal_code": "565574912",
            "telephone_number": "218-935-9423",
            "fax_number": "218-216-1923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 4th St SW",
            "address_purpose": "LOCATION",
            "city": "Mahnomen",
            "state": "MN",
            "postal_code": "565574732",
            "country_code": "US",
            "telephone_number": "218-935-2514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMA",
        "first_name": "MECHELLE",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-15",
        "last_updated": "2026-01-25",
        "certification_date": "2026-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MN",
            "license": "F10250456",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "13582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahnomen, MN

Sources for this page

Verify at the official NPI Registry.