MEHRET MEDHANIE NP
NPI 1649763780
Nurse Practitioner - Gerontology in Golden Valley, MN

Q: What is Mehret Medhanie's NPI number?

The NPI number for Mehret Medhanie is 1649763780. It was assigned to this individual provider in the NPPES registry on June 13, 2018.

Q: What is Mehret Medhanie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Mehret Medhanie was last updated on February 8, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2018PECOS EnrolledAccepts Medicare Assignment

1415 LILAC DR N STE 190, GOLDEN VALLEY, MN 55422(763) 267-8701(763) 231-9602 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 8, 2022, Nov 11, 2019, Jun 13, 2018 (3 updates tracked since 2018).

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About Mehret Medhanie Np NPPES

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

MEHRET MEDHANIE NP (NPI 1649763780) is an individual gerontology provider in Golden Valley, Minnesota, licensed in Minnesota (5815) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bloomington, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649763780

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMEHRET MEDHANIECredential: NP

Location Address1415 LILAC DR N STE 190Golden Valley, MN 55422-4544

Mailing Address1415 Lilac Dr N Ste 190Golden Valley, MN 55422-4544 · (763) 267-8701 · Fax (763) 231-9602

Phone(763) 267-8701

Fax(763) 231-9602

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 13, 2018

Last NPPES UpdateFebruary 8, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2022

✔ NPI 1649763780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MN · 5815

1415 LILAC DR N STE 190, Golden Valley, MN 55422

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Secondary Practice Location 1

Location 18300 Norman Center Dr Ste 230Bloomington, MN 55437-1050 · Phone (866) 949-0108 · Fax (901) 422-7636

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

Mehret Medhanie Np 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 ID1254688203

PECOS Enrollment IDI20180720002595

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 55422 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.

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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.

DR. CLEMENCIA RASQUINHA M.D

Family Medicine (Geriatric Medicine)