MELISSA K WETTERLUND LLC
NPI 1588309181
Clinic/Center - Mental Health (Including Community Mental Health Center) in Blaine, MN

Active since April 28, 2022
4255 PHEASANT RIDGE DR NE STE 412, BLAINE, MN 55449(763) 703-3754(763) 703-3725 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Melissa K Wetterlund Llc NPPES

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

MELISSA K WETTERLUND LLC (NPI 1588309181) is a healthcare organization registered as a mental health (including community mental health center) in Blaine, Minnesota and active in the NPI registry since April 2022. The organization lists Melissa Wetterlund, Owner, as its authorized official.

NPPES Registry Identity

NPI1588309181
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMELISSA K WETTERLUND LLC
Location Address4255 PHEASANT RIDGE DR NE STE 412Blaine, MN 55449-5066
Mailing Address4255 Pheasant Ridge Dr Ne Ste 412Blaine, MN 55449-5066 · (763) 703-3749
Fax(763) 703-3725
Organization SubpartNo
Authorized OfficialMelissa WetterlundOwner · (612) 747-7138
Enumeration DateApril 28, 2022
Last NPPES UpdateJanuary 15, 2024
NPPES CertifiedJanuary 15, 2024
✔ NPI 1588309181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4255 PHEASANT RIDGE DR NE STE 412, Blaine, MN 55449

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa K Wetterlund Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Melissa K Wetterlund LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marriage and Family Therapist
NPI 1659413599
4255 PHEASANT RIDGE DR NE STE 412
Blaine, MN 55449
(763) 703-3749
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Melissa K Wetterlund LLC's NPI number?

The NPI number for Melissa K Wetterlund LLC is 1588309181. It was assigned to this organization in the NPPES registry on April 28, 2022.

Where is Melissa K Wetterlund LLC located?

Melissa K Wetterlund LLC is located at 4255 Pheasant Ridge Dr NE Ste 412, Blaine, MN 55449. The listed phone number is (763) 703-3754.

What is Melissa K Wetterlund LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Melissa K Wetterlund LLC enrolled in Medicare?

Yes. Melissa K Wetterlund LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Melissa K Wetterlund LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Melissa K Wetterlund LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Melissa K Wetterlund LLC accept?

Health plans from HealthPartners list Melissa K Wetterlund LLC 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 Melissa K Wetterlund LLC was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.