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

Individual provider Physician Assistant · NPI 1316976236

Kristin K Mellgren, PA-C is a Physician Assistant in Sartell, Minnesota. Qualified in 2003, 23 years ago. Practices with Small Holdings PA, a 4-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2006
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

161 19th St S Ste 106
Sartell, MN 56377-2555
Phone: (320) 252-3376
Fax: (320) 288-2701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9855 (MN)

Record details

NPI number1316976236
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2006
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Small Holdings Pa — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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