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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MELISSA ANNE STASIAK PA
NPI 1871258004
Physician Assistant - Medical in Eagan, MN

Active since November 02, 2021PECOS Enrolled
PO BOX 211699, EAGAN, MN 55121(866) 849-0692(888) 973-8821 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2026, Jun 5, 2026, Apr 1, 2026 and 2 more (5 updates tracked since 2021).

About Melissa Anne Stasiak Pa NPPES

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

MELISSA ANNE STASIAK PA (NPI 1871258004) is an individual medical provider in Eagan, Minnesota, licensed in Louisiana (334137) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1871258004
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMELISSA ANNE STASIAKCredential: PA
Location AddressPO BOX 211699Eagan, MN 55121-3699
Mailing AddressPo Box 211699Eagan, MN 55121-3699 · (866) 849-0692 · Fax (888) 973-8821
Phone(866) 849-0692
Fax(888) 973-8821
Sole ProprietorNo
Enumeration DateNovember 2, 2021
Last NPPES UpdateJuly 24, 20265 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
✔ NPI 1871258004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in LA · 334137✔ Licensed in AL · 2865✔ Licensed in OR · PA230519✔ Licensed in GA · 14060
PO BOX 211699, Eagan, MN 55121
Open in Google Maps ↗

Secondary Practice Location 1

Location 12900 Westfork Dr Ste 401Baton Rouge, LA 70827-0004 · Phone (855) 212-2273

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Anne Stasiak Pa 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.

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.

MRS. STEPHANIE ANN WOLZ FNP
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Dakota County (866) 849-0692
MRS. TIFFANY L. MEYERS RN, FNP-C, CHFN
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Dakota County (866) 849-0692
MRS. JULIA DARBY DARLEY FNP
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Dakota County (866) 849-0692
SAQUORIA PICKETT
Registered Nurse
PO BOX 211699
EAGAN, MN 55121
Dakota County (866) 849-0692
ANNE CONWELL RADER DNP, APRN, FNP-BC
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Dakota County (866) 849-0692
LEAH BETH GRAU APRN, CNP
Nurse Practitioner (Adult Health)
PO BOX 211699
EAGAN, MN 55121
Dakota County (866) 849-0692
DIANA C MORAN APRN, FNP-C
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Dakota County (866) 849-0692
KARINA IVETT ZAMORA NP
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Dakota County (866) 849-0692

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 Stasiak's NPI number?

The NPI number for Melissa Stasiak is 1871258004. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Where is Melissa Stasiak located?

Melissa Stasiak practices at PO Box 211699, Eagan, MN 55121. The listed phone number is (866) 849-0692.

What is Melissa Stasiak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Melissa Stasiak enrolled in Medicare?

Yes. Melissa Stasiak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Stasiak was last updated on July 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.