Kaitlyn Mellesmoen, PA-C — NPI 1790451540
Kaitlyn Mellesmoen, PA-C’s National Provider Identifier is 1790451540. NPPES classifies this as a Type 1 individual record and reports a practice location in Edina, Minnesota. The primary taxonomy is Physician Assistant.
Key facts
- NPI
- 1790451540
- Entity type
- Type 1 individual
- NPPES status
- Active in the August 10, 2026 snapshot
- Practice location
- 7400 FRANCE AVE S STE 100
Edina, Minnesota 55435 - Practice telephone
- (763) 537-6000
- Primary taxonomy
- Physician Assistant
- Enumeration date
- August 20, 2021
- NPPES last update
- November 19, 2025
- Source
- CMS NPPES, NPPES Data Dissemination August 2026 V2
Questions answered by the NPPES record
What is the NPI for Kaitlyn Mellesmoen, PA-C?
The NPI listed for Kaitlyn Mellesmoen, PA-C in the NPPES snapshot is 1790451540. The number passes the NPI check-digit test and is recorded as active in that snapshot.
Is NPI 1790451540 an individual or organization record?
NPPES records NPI 1790451540 as an Entity Type 1 record, which CMS assigns to an individual health care provider.
Where is the reported practice location?
The primary practice location reported to NPPES is 7400 FRANCE AVE S STE 100, Edina, Minnesota 55435.
What taxonomy codes are listed for this NPI?
One taxonomy code is listed: Physician Assistant (363A00000X), the primary taxonomy. Names come from the NUCC Health Care Provider Taxonomy code set version 26.1; definitions are not reproduced.
When was the NPPES record last updated?
NPPES reports a last update date of November 19, 2025 and an enumeration date of August 20, 2021, as published in NPPES Data Dissemination August 2026 V2.
Source and data date
All facts on this page come from the Centers for Medicare & Medicaid Services (CMS) NPPES data dissemination file NPPES Data Dissemination August 2026 V2, released August 10, 2026 (snapshot date 2026-08-10). The record was reproduced from the main provider file without edits; only the fields listed on the methodology page are published.
CMS updates NPPES continuously and this page reflects a single monthly snapshot. Confirm current details in the official NPPES NPI Registry.
Directory pages
This profile is listed on the Edina, Minnesota NPI directory and the Minnesota NPI directory.
Other published profiles in Edina, MN
Up to ten other profiles this site publishes for Edina, listed alphabetically. Appearing together here indicates only a shared reported practice city, not any affiliation or relationship. The city page lists all 46 published profiles.
Independent service disclaimer
This directory is an independent, experimental publication of public NPPES fields. It is not affiliated with or endorsed by CMS, NPPES, Medicare, the American Medical Association, or the National Uniform Claim Committee. An NPI is an administrative identifier. Its presence here does not establish that a provider is licensed, credentialed, board certified, in good standing, accepting patients or insurance, employed by or affiliated with any organization, or currently practicing. Nothing on this page is medical, legal, or insurance advice.