Gregory Mellesmoen, CRNA
NPI 1689633919 · Certified Registered Nurse Anesthetist · Maple Grove, MN
Gregory Mellesmoen, CRNA is a Certified Registered Nurse Anesthetist provider in Maple Grove, MN (NPI 1689633919).
Provider details
- NPI number
- 1689633919
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- R0779700 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-23
- Last updated
- 2018-06-13
Frequently asked questions
- What is Gregory Mellesmoen's NPI number?
- Gregory Mellesmoen's National Provider Identifier (NPI) is 1689633919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gregory Mellesmoen's specialty?
- Gregory Mellesmoen is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Gregory Mellesmoen located?
- Gregory Mellesmoen's practice location on file with NPPES is 9645 Grove Cir N Ste 250, Maple Grove, MN 55369.
- What is Gregory Mellesmoen's phone number?
- The practice phone number listed in the NPPES registry for Gregory Mellesmoen is (763) 201-8191.
- Is Gregory Mellesmoen's NPI active?
- Yes — Gregory Mellesmoen's NPI (1689633919) is active in the NPPES registry as of the last update on 2018-06-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.