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

Tiffany J Mellang

Individual provider Physician Assistant · NPI 1083196927

Tiffany J Mellang is a Physician Assistant in Roseville, Minnesota. Qualified in 2018, 8 years ago. Practices with Midwest Radiology PA, a 214-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
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Practice location Address checks out

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone: (651) 292-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2450 Riverside Ave, Minneapolis, MN 55454-1450 — (612) 710-1273

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1146349 (MN)

Record details

NPI number1083196927
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Midwest Radiology Pa — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations26 on file with Medicare

Other providers in Roseville