MELANIE IMKER WONG
NPI 1093173064
Nurse Anesthetist, Certified Registered in Mankato, MN

Q: What is Melanie Wong's NPI number?

The NPI number for Melanie Wong is 1093173064. It was assigned to this individual provider in the NPPES registry on February 5, 2016.

Q: What is Melanie Wong's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Melanie Wong was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since February 05, 2016PECOS Enrolled

1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 5, 2025, Sep 18, 2020, Jun 27, 2016 and 1 more (4 updates tracked since 2016).

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About Melanie Imker Wong NPPES

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

MELANIE IMKER WONG (NPI 1093173064) is an individual nurse anesthetist, certified registered in Mankato, Minnesota, licensed in Minnesota (CRNA 1924) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093173064

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameMELANIE IMKER WONG

Location Address1025 MARSH STMankato, MN 56001-4752

Mailing Address20018 Indian Lake RdMankato, MN 56001-6617 · (651) 325-7319

Phone(507) 625-4031

Sole ProprietorNo

Enumeration DateFebruary 5, 2016

Last NPPES UpdateSeptember 5, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2025

✔ NPI 1093173064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MN · CRNA 1924

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License R-192262-4 (MN), 4704290170 (MI)

1025 MARSH ST, Mankato, MN 56001

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melanie Imker Wong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Melanie Wong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Southwest Minnesota Region

Same address

Multi-Specialty

1025 MARSH ST
Mankato, MN 56001

Reassigned Medicare billing, Minnesota enrollment
1,572 clinicians in this Medicare group

NPI 1578545422 (507) 625-4031

Mankato Surgical Center, L.L.C.

2.1 mi

Ambulatory Surgical

1411 PREMIERE DR
Mankato, MN 56001

Reassigned Medicare billing, Minnesota enrollment
25 clinicians in this Medicare group

NPI 1720161615 (507) 388-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

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.

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.

KRISTIN MARIE CLIFFORD CNP

Nurse Practitioner