Melissa Ann Waterman-Keinath, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9373 Issued in MN

Practice address

6525 Barrie Rd
Edina, MN 55435-2305

Phone

(952) 915-6000

Fax

(952) 915-6100

NPI assigned

Feb 22, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology and Cosmetic Institute PAGroup PAC ID 4880659358, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Advanced Dermatology & Cosmetic Institute P.a.

  • Dermatology Physician
  • Edina, MN
  • NPI 1992890917
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902871759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 BARRIE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352305",
            "telephone_number": "952-915-6000",
            "fax_number": "952-915-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 BARRIE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352305",
            "telephone_number": "952-915-6000",
            "fax_number": "952-915-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERMAN-KEINATH",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Warren, L. AC
• Christine Warren, LMFT LICSW
• Sarah Lynn Warren, FNP
• Amal Warsame
• Laura Lee Wash, LPCC, LADC
• Anna Michelle Watson
• Robert Collins Watson
• Chad Christopher Watters, D.C.
• Kristen Watts, D.C.
• Daniel Alexander Wattson, MD

• Physician Assistant in Edina, MN
• Providers in Edina, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.