Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlyn Mellesmoen, PA-C

Individual provider Physician Assistant · NPI 1790451540

Kaitlyn Mellesmoen, PA-C is a Physician Assistant in Edina, Minnesota. Qualified in 2020, 6 years ago. Practices with Nura PLLC, a 35-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

7400 France Ave S Ste 100
Edina, MN 55435-4738
Phone: (763) 537-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2104 Northdale Blvd Nw Ste 220, Coon Rapids, MN 55433-3046 — (763) 537-6000
  • 7390 France Ave S, Edina, MN 55435-4500 — (763) 537-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13559 (MN)

Record details

NPI number1790451540
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 20, 2021
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nura Pllc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Edina