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

Melissa Ann Boggio, PNP-AC

Individual provider Critical Care Pediatric Nurse Practitioner · NPI 1629527635

Melissa Ann Boggio, PNP-AC is a Nurse Practitioner in Minneapolis, Minnesota. Graduated from Vanderbilt University School of Medicine in 2016, 10 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
10
Trained at
Vanderbilt University School of Medicine
Licensed in
MN
In the registry since
2016

Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 365-6777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X · Licence CNP 4822 (MN)

Record details

NPI number1629527635
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP-AC
Sole proprietorNo
NPI enumeratedOctober 3, 2016
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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