MARY A MELLENTHIN APNP
NPI 1164890596
Nurse Practitioner - Family in Fond Du Lac, WI
NPI Status: Active since September 02, 2015
Contact Information
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
Phone: (920) 907-3922
Fax: (920) 929-7392
- Individual
- Female
- Nurse Practitioner
- Family
About MARY MELLENTHIN
This page provides the complete NPI Profile along with additional information for Mary Mellenthin, a provider established in Fond Du Lac, Wisconsin with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1164890596 assigned on September 2015. The practitioner's primary taxonomy code is 363LF0000X with license number 6501-33 (WI). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1164890596
- Provider Name
- MARY A MELLENTHIN APNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 912 S HICKORY ST FOND DU LAC, WI 54935
- Location Phone
- (920) 907-3922
- Location Fax
- (920) 929-7392
- Mailing Address
- 420 E DIVISION ST FOND DU LAC, WI 54935
- Mailing Phone
- (920) 926-5666
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-02-2015
- Last Update Date
- 12-07-2020
- Code Navigator
A nurse practitioner (NP) like Mary Mellenthin is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 6501-33
- License State
- WI
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 8 | 9 | 0 | 5 | 9 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 16 | 9 | 0 | 5 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 6 + 9 + 0 + 5 + 1 + 8 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1164890596 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
DR. KEVIN ANDREW JESSEN M.D.
Family Medicine
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
AGNESIAN HEALTHCARE INC
Clinic/Center
(Multi-Specialty)
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
AGNESIAN HEALTHCARE INC
Durable Medical Equipment & Medical Supplies
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
DARRELL BRANDS RPH
Pharmacist
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
JULIE A SCHNEIDER APNP
Nurse Practitioner
(Family)
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
MEGAN R DIENER APNP
Nurse Practitioner
(Adult Health)
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
SARAH KATHERINE DAVIS APNP
Nurse Practitioner
(Family)
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
STEFANIE MAE PETRIE APNP
Nurse Practitioner
(Family)
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
ANNA CLARE HANG PA-C
Physician Assistant
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
SETH D UDLIS MD
Family Medicine
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
DEBORAH ANN VANDE ZANDE APNP
Nurse Practitioner
(Family)
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
LISA BRENNAN FNP
Nurse Practitioner
(Family)
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
MELISSA L TATE APNP
Nurse Practitioner
(Family)
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
CONSULTANTS LABORATORY OF WISCONSIN, LLC
Clinical Medical Laboratory
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
BROOKE LAINE JESKE APNP
Nurse Practitioner
(Family)
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
AGNESIAN HEALTHCARE INC
Pharmacy
(Community/Retail Pharmacy)
912 S HICKORY ST
FOND DU LAC, WI
ZIP 54935
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164890596, enumerated as an "individual" on September 02, 2015.
The provider is located at 912 S HICKORY ST FOND DU LAC, WI 54935 and the phone number is (920) 907-3922.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
