DR. MELVINA DENEAL BISSONETTE M.D.
NPI 1417214644
Psychiatry & Neurology - Psychiatry in Eagan, MN

Q: What is Melvina Bissonette's NPI number?

The NPI number for Melvina Bissonette is 1417214644. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Q: What is Melvina Bissonette's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since April 12, 2012PECOS EnrolledAccepts Medicare Assignment

860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121(612) 217-1737(612) 457-0383 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 13, 2025, May 19, 2025, Nov 19, 2020 and 1 more (4 updates tracked since 2016).

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About Dr. Melvina Deneal Bissonette M.d. NPPES

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

DR. MELVINA DENEAL BISSONETTE M.D. (NPI 1417214644) is an individual psychiatry provider in Eagan, Minnesota, licensed in Minnesota (57176) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2012).

NPPES Registry Identity

NPI1417214644

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. MELVINA DENEAL BISSONETTECredential: M.D.

Location Address860 BLUE GENTIAN RD STE 200Eagan, MN 55121-1567

Mailing Address860 Blue Gentian Rd Ste 200Eagan, MN 55121-1567 · (612) 217-1737 · Fax (612) 457-0383

Phone(612) 217-1737

Fax(612) 457-0383

Sole ProprietorYes

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2012

Enumeration DateApril 12, 2012

Last NPPES UpdateJune 13, 20254 updates tracked since enumeration

NPPES CertifiedJune 13, 2025

✔ NPI 1417214644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MN · 57176

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

860 BLUE GENTIAN RD STE 200, Eagan, MN 55121

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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

Dr. Melvina Deneal Bissonette M.d. 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 ID3971819129

PECOS Enrollment IDI20260102001374

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55121 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

$168.28 typical visit price

range $56.00 – $168.28

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

Most-billed visit code 99205

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.

NAJMA JAMA

Behavior Analyst

860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121

Dakota County (470) 306-5280

NICHOLAS WEIDNER

Counselor (Mental Health)

860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121

Dakota County (651) 315-5274

FAADUMO CRISAAQ AHMED

Behavior Technician

860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121

Dakota County (651) 802-2533

WAVE COMFORT CARE SERVICES LLC

Community/Behavioral Health

860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121

Dakota County (612) 226-7786

ABDULLAHI ABDI MOULID

Behavior Technician

860 BLUE GENTIAN RD STE 200
SAINT PAUL, MN 55121

Dakota County (612) 261-7454

SUGRA KALIF

Behavior Technician

860 BLUE GENTIAN RD STE 200
SAINT PAUL, MN 55121

Dakota County (612) 261-7454

PATRICK STEPHEN CARNEY L.P.

Psychologist

860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121

Dakota County (651) 252-1050

VANG HOUA XIONG

Behavior Technician

860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121

Dakota County (612) 366-5931

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 Melvina Bissonette's NPI number?

The NPI number for Melvina Bissonette is 1417214644. It was assigned to this individual provider in the NPPES registry on April 12, 2012.

Where is Melvina Bissonette located?

Melvina Bissonette practices at 860 Blue Gentian Rd Ste 200, Eagan, MN 55121. The listed phone number is (612) 217-1737.

What is Melvina Bissonette's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Melvina Bissonette enrolled in Medicare?

Yes. Melvina Bissonette 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.

When was this NPI record last updated?

The NPPES record for Melvina Bissonette was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.