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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANNALISE MEDELES
NPI 1043049901
Specialist in East Grand Forks, MN

Active since July 30, 2024
418 3RD ST NW, EAST GRAND FORKS, MN 56721(218) 287-4338 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2026, Nov 25, 2025, Jul 30, 2024 (3 updates tracked since 2024).

About Annalise Medeles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNALISE MEDELES (NPI 1043049901) is an individual specialist in East Grand Forks, Minnesota and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1043049901
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameANNALISE MEDELES
Location Address418 3RD ST NWEast Grand Forks, MN 56721-1713
Mailing Address1547 30th Ave SMoorhead, MN 56560-5149 · (218) 287-4338
Phone(218) 287-4338
Sole ProprietorNo
Enumeration DateJuly 30, 2024
Last NPPES UpdateJuly 10, 20263 updates tracked since enumeration
NPPES CertifiedJuly 10, 2026
✔ NPI 1043049901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedBehavior TechnicianTaxonomy 106S00000X
418 3RD ST NW, East Grand Forks, MN 56721
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Other Names 1

Former Name (1)Annalise Gruber

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANISA DANIELLE HOLWERDA MASTER SOCIAL WORKER
Specialist
418 3RD ST NW
EAST GRAND FORKS, MN 56721
Polk County (218) 287-4338
HAILLE MCLAUGHLIN
Specialist
418 3RD ST NW
EAST GRAND FORKS, MN 56721
Polk County (218) 287-4338
KAITLYN OLSCHLAGER
Specialist
418 3RD ST NW
EAST GRAND FORKS, MN 56721
Polk County (218) 287-4338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annalise Medeles's NPI number?

The NPI number for Annalise Medeles is 1043049901. It was assigned to this individual provider in the NPPES registry on July 30, 2024. The provider is also known as Annalise Gruber.

Where is Annalise Medeles located?

Annalise Medeles practices at 418 3rd St NW, East Grand Forks, MN 56721. The listed phone number is (218) 287-4338.

What is Annalise Medeles's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Annalise Medeles was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.