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

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: October 18, 2026.

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

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
Open in Google Maps ↗

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mehret Medhanie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

West Side Community Health Services, Inc.
5.1 mi
Federally Qualified Health Center (FQHC)
2606 CHICAGO AVE
Minneapolis, MN 55407
  • Reassigned Medicare billing, Minnesota enrollment
  • 101 clinicians in this Medicare group
NPI 1336015304 (651) 602-7500

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

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.

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)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Hennepin County (763) 267-8701
IYINOLA JOEL OGUNLEYE RN, CNP
Nurse Practitioner
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Hennepin County (763) 267-8701
ISAAC ADEDIRAN M.D
Family Medicine
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Hennepin County (763) 267-8701
STEPHANIE NECHOLE SWEEZY CNP
Nurse Practitioner
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Hennepin County (612) 207-0124
JESSICAH GABRIELSON NP
Nurse Practitioner (Family)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Hennepin County (763) 267-8701
CHEYENNE FREUDENRICH NP
Nurse Practitioner (Gerontology)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Hennepin County (763) 267-8701
NANCY STRONG RN, AGNP
Nurse Practitioner (Adult Health)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Hennepin County (763) 267-8701
ELIZABETH JEAN KREBSBACH
Nurse Practitioner (Gerontology)
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422
Hennepin County (763) 267-8701

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 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.

Where is Mehret Medhanie located?

Mehret Medhanie practices at 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422. The listed phone number is (763) 267-8701.

What is Mehret Medhanie's specialty?

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

Is Mehret Medhanie enrolled in Medicare?

Yes. Mehret Medhanie 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.

Which organization bills Medicare for Mehret Medhanie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mehret Medhanie reassigns Medicare benefits to West Side Community Health Services, Inc. (Minneapolis, MN). The 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 Mehret Medhanie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mehret Medhanie accept?

Health plans from HealthPartners list Mehret Medhanie 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 Mehret Medhanie was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.