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

MS. Melissa Sue Wagner, ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1366763708

MS. Melissa Sue Wagner, ACNP is a Nurse Practitioner in Bloomington, Minnesota. Qualified in 2009, 17 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Missouri.

Years since qualifying
17
Licensed in
MN, MO
In the registry since
2010
Specialties on file
2
What do these letters mean?
ACNP — Acute Care Nurse Practitioner
A nurse practitioner who treats acutely ill patients, usually in hospital.

See every abbreviation used in this directory →

Practice location Address checks out

8100 Northland Dr
Bloomington, MN 55431-4800
Phone: (952) 831-8742
Show map & directions

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

Additional practice locations (1)

  • 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 — (314) 362-9123

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3805 (MN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 2010012196 (MO)

Record details

NPI number1366763708
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP
Sole proprietorNo
NPI enumeratedJune 21, 2010
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare