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MELANIE T STAPLETON PA-C
NPI 1255646782
Physician Assistant in Saint Paul, MN

Active since August 09, 2010PECOS EnrolledAccepts Medicare Assignment
205 WABASHA ST S, SAINT PAUL, MN 55107(651) 293-8100(651) 293-8106 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Melanie T Stapleton Pa-c NPPES

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

MELANIE T STAPLETON PA-C (NPI 1255646782) is an individual physician assistant in Saint Paul, Minnesota, licensed in Iowa (002118) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Regions Hospital, and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1255646782
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELANIE T STAPLETONCredential: PA-C
Location Address205 WABASHA ST SSaint Paul, MN 55107
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516 · (651) 293-8100 · Fax (651) 293-8106
Phone(651) 293-8100
Fax(651) 293-8106
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 9, 2010
Last NPPES UpdateSeptember 12, 2018
✔ NPI 1255646782 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 IA · 002118
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.
205 WABASHA ST S, Saint Paul, MN 55107
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Secondary Practice Location 1

Location 1200 Hawkins DrIowa City, IA 52242-1007 · Phone (319) 356-1334 · Fax (319) 356-8378

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Melanie T Stapleton Pa-c 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 ID2860517745
PECOS Enrollment IDI20170324001693
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
308 services86 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services48 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
35 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services14 patients

Hospital Affiliations CMS Care Compare

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

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55107 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.

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.

MICHELLE COLEEN HICKS FNP
Nurse Practitioner (Family)
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (651) 293-8100
HUIYING GUO M.D.
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (952) 967-5584
LILY KATHLEEN WARD MD
Family Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (952) 967-5584
MS. JESSICA RANALLO CNM
Advanced Practice Midwife
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (952) 967-5584
ERIN FLORIN NP
Nurse Practitioner
205 WABASHA ST S
ST PAUL, MN 55107
Ramsey County (952) 853-8800
SAMANTHA ZARSKE PA-C
Physician Assistant
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (651) 293-8100
EMILY M THOMPSON MD
Emergency Medicine
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (952) 853-8800
DR. SALVADOR FEDERICO CALAF M.D.
Orthopaedic Surgery
205 WABASHA ST S
SAINT PAUL, MN 55107
Ramsey County (651) 293-8100

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 Melanie Stapleton's NPI number?

The NPI number for Melanie Stapleton is 1255646782. It was assigned to this individual provider in the NPPES registry on August 9, 2010.

Where is Melanie Stapleton located?

Melanie Stapleton practices at 205 Wabasha St S, Saint Paul, MN 55107. The listed phone number is (651) 293-8100.

What is Melanie Stapleton's specialty?

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

Is Melanie Stapleton enrolled in Medicare?

Yes. Melanie Stapleton 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 Melanie Stapleton accept?

Health plans from HealthPartners and Medica list Melanie Stapleton 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 Melanie Stapleton affiliated with any hospitals?

According to CMS data, Melanie Stapleton is affiliated with Regions Hospital.

When was this NPI record last updated?

The NPPES record for Melanie Stapleton was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.