MELISSA MARIE EKHOLM
NPI 1932208436
Nurse Practitioner - Pediatrics in St Louis Park, MN
About Melissa Marie Ekholm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA MARIE EKHOLM (NPI 1932208436) is an individual pediatrics provider in St Louis Park, Minnesota, licensed in Minnesota (R1578528) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Melissa Marie Ekholm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Melissa Ekholm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 clinicians in this Medicare group
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 55426 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
ST LOUIS PARK, MN 55426
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 Ekholm's NPI number?
The NPI number for Melissa Ekholm is 1932208436. It was assigned to this individual provider in the NPPES registry on September 21, 2006.
Where is Melissa Ekholm located?
Melissa Ekholm practices at 6500 Excelsior Blvd, St Louis Park, MN 55426. The listed phone number is (952) 993-1000.
What is Melissa Ekholm's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Melissa Ekholm enrolled in Medicare?
Yes. Melissa Ekholm is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Melissa Ekholm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Ekholm reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, 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 Melissa Ekholm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Melissa Ekholm was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Melissa Marie Ekholm · NPI 1932208436
Pediatrics physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since September 21, 2006.
## Identity
- **NPI:** 1932208436 (Entity type: Individual)
- **Enumerated:** September 21, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** R1578528 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6500 EXCELSIOR BLVD, St Louis Park, MN 55426-4702
- **Phone:** (952) 993-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2016
- **Other identifiers:** Medicaid ENROLLED (IA); Medicaid ENROLLED (MN); Medicare PIN 500006805 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1932208436) · Data from the CMS NPPES public registry.