MELODIE ANNE KABANUK DOHM APRN-CNP, PMHNP
NPI 1578029757
Nurse Practitioner - Psychiatric/Mental Health in Saint Paul, MN

Q: What is Melodie Kabanuk Dohm's NPI number?

The NPI number for Melodie Kabanuk Dohm is 1578029757. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Q: What is Melodie Kabanuk Dohm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since February 13, 2019PECOS Enrolled

2704 MOUNDS VIEW BLVD STE 12, SAINT PAUL, MN 55112(320) 232-0647(567) 205-3614 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 10, 2025, Feb 20, 2021, Apr 11, 2019 and 1 more (4 updates tracked since 2019).

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About Melodie Anne Kabanuk Dohm Aprn-cnp, Pmhnp NPPES

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

MELODIE ANNE KABANUK DOHM APRN-CNP, PMHNP (NPI 1578029757) is an individual psychiatric/mental health provider in Saint Paul, Minnesota, licensed in Minnesota (6419) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578029757

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMELODIE ANNE KABANUK DOHMCredential: APRN-CNP, PMHNP

Location Address2704 MOUNDS VIEW BLVD STE 12Saint Paul, MN 55112-4366

Mailing Address2704 Mounds View Blvd Ste 12Saint Paul, MN 55112-4366 · (320) 232-0647 · Fax (567) 205-3614

Phone(320) 232-0647

Fax(567) 205-3614

Sole ProprietorYes

Enumeration DateFebruary 13, 2019

Last NPPES UpdateNovember 10, 20254 updates tracked since enumeration

NPPES CertifiedNovember 10, 2025

✔ NPI 1578029757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · 6419

2704 MOUNDS VIEW BLVD STE 12, Saint Paul, MN 55112

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melodie Anne Kabanuk Dohm Aprn-cnp, Pmhnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55112 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Melodie Kabanuk Dohm's NPI number?

The NPI number for Melodie Kabanuk Dohm is 1578029757. It was assigned to this individual provider in the NPPES registry on February 13, 2019.

Where is Melodie Kabanuk Dohm located?

Melodie Kabanuk Dohm practices at 2704 Mounds View Blvd Ste 12, Saint Paul, MN 55112. The listed phone number is (320) 232-0647.

What is Melodie Kabanuk Dohm's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Melodie Kabanuk Dohm enrolled in Medicare?

Yes. Melodie Kabanuk Dohm is registered in the Medicare PECOS enrollment system.

What insurance does Melodie Kabanuk Dohm accept?

Health plans from HealthPartners list Melodie Kabanuk Dohm 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 Melodie Kabanuk Dohm was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.