MELISSA SORENSON GNP-BC NPI 1871643825

NPI Information

  • NPI: 1871643825
  • Provider Name: MELISSA SORENSON, GNP-BC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3433 BROADWAY ST NE STE 300
    MINNEAPOLIS, MN
    ZIP 55413
  • Phone: (763) 587-7737

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NPI Details

Melissa Sorenson, GNP-BC is a gerontology nurse practitioner in Minneapolis, MN with 26 years of experience. Melissa Sorenson, GNP-BC NPI is 1871643825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3433 BROADWAY ST NE STE 300
MINNEAPOLIS, MN
ZIP 55413-761
Phone: (763) 587-7737
Fax: (763) 587-7069

The NPI 1871643825 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes (HCPCS:99334)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Follow-up nursing facility visit per day, typically 35 minutes (HCPCS:99310)

The enumeration date for this NPI number is 1/11/2007 and was last updated on 5/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology2581MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17344058-00MEDICAIDMINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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