TIFFANY J MELLANG
NPI 1083196927
Physician Assistant in Roseville, MN

Active since September 06, 2018PECOS EnrolledAccepts Medicare Assignment
88.38/100
CMS Quality Rating
2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 55113(651) 292-2000 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 20, 2021, Sep 6, 2018 (2 updates tracked since 2018).

About Tiffany J Mellang NPPES

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

TIFFANY J MELLANG (NPI 1083196927) is an individual physician assistant in Roseville, Minnesota, licensed in Minnesota (1146349) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains a secondary practice location in Minneapolis.

NPPES Registry Identity

NPI1083196927
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTIFFANY J MELLANG
Location Address2355 HIGHWAY 36 W STE 100Roseville, MN 55113-3905
Mailing Address2355 Highway 36 W Ste 100Roseville, MN 55113-3905 · (651) 292-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 6, 2018
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
NPI 1083196927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 1146349
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2355 HIGHWAY 36 W STE 100, Roseville, MN 55113

Secondary Practice Location 1

Location 12450 Riverside AveMinneapolis, MN 55454-1450 · Phone (612) 710-1273

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tiffany J Mellang is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769735224
PECOS Enrollment IDI20181030002699
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml Q9965
Low osmolar contrast material with 100-199 mg/ml iodine concentration is a type of dye used in medical imaging tests. It helps to clearly highlight certain areas in the body, improving the quality of images and aiding in accurate diagnosis. It's generally safe and well-tolerated.
2,152 services175 patients
Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
972 services12 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
475 services373 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
449 services84 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
273 services272 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
112 services99 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Fairview Lakes Health Services

Acute Care Hospitals · Wyoming, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240050
Location5200 Fairview BoulevardWyoming, MN 55092 · Chisago County
Emergency services Birthing friendly

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.55
Improvement Activities40
Cost66.26

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Vascular & Interventional Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113
Radiology (Diagnostic Radiology)
2355 HIGHWAY 36 W STE 100
ROSEVILLE, MN 55113

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 Tiffany Mellang's NPI number?

The NPI number for Tiffany Mellang is 1083196927. It was assigned to this individual provider in the NPPES registry on September 6, 2018.

Where is Tiffany Mellang located?

Tiffany Mellang practices at 2355 Highway 36 W Ste 100, Roseville, MN 55113. The listed phone number is (651) 292-2000.

What is Tiffany Mellang's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Tiffany Mellang enrolled in Medicare?

Yes. Tiffany Mellang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tiffany Mellang accept?

Health plans from Medica list Tiffany Mellang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tiffany Mellang affiliated with any hospitals?

According to CMS data, Tiffany Mellang is affiliated with Allina United Hospital, Fairview Lakes Health Services, M Health Fairview Southdale Hospital, Mercy Hospital and M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Tiffany Mellang was last updated on July 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.