Active NPI
Melanie Swenson, APRN, CPNP
- Pediatric Nurse Practitioner
- Brooklyn Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 7309
- Practice address
- 8500 Edinbrook Pkwy
Brooklyn Park, MN 55443-3720 - Phone
- (763) 425-1211
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 7309 | MN | Primary |
| Registered Nurse | 163W00000X | 148978-030 | WI | |
| Registered Nurse | 163W00000X | R166082-1 | MN | |
| Registered Nurse | 163W00000X | R31568 | ND |
Addresses
Primary practice location
8500 Edinbrook Pkwy
Brooklyn Park, MN 55443-3720
Mailing address
12048 Terrace CT NE
Blaine, MN 55434-3385
Phone (651) 468-7323
Other practice location 1
2800 Cleveland Ave N
Roseville, MN 55113-1126
Phone (651) 642-1825
Other names 1
- Melanie Swenson
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R166082-1 | MN | MD | Registered Nurse |
| R31568 | ND | MD | Registered Nurse |
| 148978-030 | WI | MD | Registered Nurse |
| 7309 | MN | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Clinic Network | Current | Accepting new patients | |
| Children'S Clinic Network | Current | Accepting new patients | |
| Children'S Clinic Network | Current | Accepting new patients | |
| Partners in Pediatrics, LTD. | Past | Accepting new patients | |
| Metropolitan Pediatric Specialists, P.a. | Past | Accepting new patients |
Locations
8500 Edinbrook Pkwy
Brooklyn Park, MN 55443
Phone (763) 425-1211
12720 Bass Lake Rd
Maple Grove, MN 55369
Phone (763) 278-0804
6060 Clearwater Dr
Ste 210
Minnetonka, MN 55343
Phone (763) 520-1200
5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691
3910 Excelsior Blvd
St Louis Park, MN 55416
Phone (952) 562-8787
1547 Livingston Ave
West St Paul, MN 55118
Phone (651) 451-8050
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
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.
-
- Primary Care Clinic/Center
- Hugo, MN
- NPI 1447529235
-
- Primary Care Clinic/Center
- Edina, MN
- NPI 1578830733
-
- Primary Care Clinic/Center
- Brooklyn Park, MN
- NPI 1588522668
-
- Clinic/Center
- Edina, MN
- NPI 1558459206
-
- Pediatrics Physician
- Maple Grove, MN
- NPI 1487604104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1891838678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12048 TERRACE CT NE",
"city": "BLAINE",
"state": "MN",
"postal_code": "554343385",
"telephone_number": "651-468-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 EDINBROOK PKWY",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554433720",
"telephone_number": "763-425-1211"
}
],
"practiceLocations": [
{
"address_1": "2800 Cleveland Ave N",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "MN",
"postal_code": "551131126",
"country_code": "US",
"telephone_number": "651-642-1825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SWENSON",
"first_name": "MELANIE",
"credential": "APRN, CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "7309",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "148978-030",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R166082-1",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ND",
"license": "R31568",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELANIE",
"last_name": "SWENSON",
"credential": "APRN, CPNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.