Kaitlyn Mellesmoen, PA-C
NPI 1790451540 · Physician Assistant · Edina, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kaitlyn Mellesmoen, PA-C is a Physician Assistant provider in Edina, MN (NPI 1790451540).
Provider details
- NPI number
- 1790451540
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 13559 (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 tenure25% of score
4 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
815 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. 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 .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 215 | $111 |
| Electronic Analysis Reprogramming and Refill of Spinal Canal Drug Infusion Pump62369 | 203 | $80 |
| Compounded Drug, Not Otherwise ClassifiedJ7999 | 197 | $344 |
| Drug Test(s), Definitive, Utilizing (1) Drug Identification Methods Able to Identify Individual Drugs and Distinguish Between Structural Isomers (but Not Necessarily Stereoisomers), Including, But Not Limited to Gc/Ms (any Type, Single Or Tandem) and Lc/MsG0481 | 165 | $153 |
| Electronic Analysis and Reprogramming of Spinal Canal Drug Infusion Pump62368 | 35 | $38 |
Typical Medicare-allowed amounts for these services range $38–$344 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 349 | 131 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 334 | 128 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 191 | 68 |
| Gabapentin | 158 | 42 |
| Tizanidine Hcl | 117 | 43 |
| Pregabalin | 87 | 22 |
| Cyclobenzaprine Hcl |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,337 across 26 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 2104 Northdale Blvd Nw Ste 220Coon Rapids, MN 55433-3046Phone: (763) 537-6000Fax: (763) 537-6666
- 7390 France Ave SEdina, MN 55435-4500Phone: (763) 537-6000
Registry dates
- Enumerated
- 2021-08-20
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Kaitlyn Mellesmoen's NPI number?
- Kaitlyn Mellesmoen's National Provider Identifier (NPI) is 1790451540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kaitlyn Mellesmoen's specialty?
- Kaitlyn Mellesmoen is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kaitlyn Mellesmoen located?
- Kaitlyn Mellesmoen's practice location on file with NPPES is 7400 France Ave S Ste 100, Edina, MN 55435-4738.
- What is Kaitlyn Mellesmoen's phone number?
- The practice phone number listed in the NPPES registry for Kaitlyn Mellesmoen is (763) 537-6000.
- Does Kaitlyn Mellesmoen accept Medicare?
- Kaitlyn Mellesmoen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kaitlyn Mellesmoen's NPI active?
- Yes — Kaitlyn Mellesmoen's NPI (1790451540) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.