BETHANIE ROUE MELLUM DC
NPI 1154034213
Chiropractor in Wayzata, MN

Active since January 03, 2023
101 LAKE ST W, WAYZATA, MN 55391(952) 473-1773 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Jan 3, 2023 (2 updates tracked since 2023).

About Bethanie Roue Mellum Dc NPPES

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

BETHANIE ROUE MELLUM DC (NPI 1154034213) is an individual chiropractor in Wayzata, Minnesota, licensed in Minnesota (7036) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1154034213
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameBETHANIE ROUE MELLUMCredential: DC
Location Address101 LAKE ST WWayzata, MN 55391-1576
Mailing Address15259 Florist CirApple Valley, MN 55124-4006 · (651) 274-8300
Sole ProprietorNo
Enumeration DateJanuary 3, 2023
Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2023
NPI 1154034213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 7036
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
101 LAKE ST W, Wayzata, MN 55391

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Chiropractor
101 LAKE ST W, SUITE 210
WAYZATA, MN 55391
Chiropractor
101 LAKE ST W, SUITE 100
WAYZATA, MN 55391
Chiropractor
101 LAKE ST W
WAYZATA, MN 55391
Acupuncturist
101 LAKE ST W, 100
WAYZATA, MN 55391
Dentist
101 LAKE ST W, SUITE 220
WAYZATA, MN 55391
Dentist (Endodontics)
101 LAKE ST W, SUITE 100
WAYZATA, MN 55391

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 Bethanie Mellum's NPI number?

The NPI number for Bethanie Mellum is 1154034213. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is Bethanie Mellum located?

Bethanie Mellum practices at 101 Lake St W, Wayzata, MN 55391. The listed phone number is (952) 473-1773.

What is Bethanie Mellum's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

What insurance does Bethanie Mellum accept?

Health plans from Medica list Bethanie Mellum 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.

When was this NPI record last updated?

The NPPES record for Bethanie Mellum was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.