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

Melissa Ann Waterman-Keinath, PA-C

Individual provider Physician Assistant · NPI 1902871759

Melissa Ann Waterman-Keinath, PA-C is a Physician Assistant in Edina, Minnesota. Qualified in 1998, 28 years ago. Practices with Advanced Dermatology and Cosmetic Institute PA, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
28
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

6525 Barrie Rd
Edina, MN 55435-2305
Phone: (952) 915-6000
Fax: (952) 915-6100
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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 9373 (MN)

Record details

NPI number1902871759
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Advanced Dermatology And Cosmetic Institute Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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