Individual provider Active NPI

Melanie Swenson, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Brooklyn Park, MN
National Provider Identifier
1891838678
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
7309 Issued in MN
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

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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
I20221110000497 MN Practitioner - Nurse Practitioner 2062889686 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R166082-1MNMDRegistered Nurse
R31568NDMDRegistered Nurse
148978-030WIMDRegistered Nurse
7309MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Clinic Network CurrentSince Jul 19, 2022 Accepting new patients
Children'S Clinic Network CurrentSince Jul 19, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.