Gregory S Mellesmoen
CRNA | Nurse Anesthetist | 45+ years Exp
9645 Grove Cir N Ste 250, Maple Grove
Minnesota, 55369
763-201-8191
Gregory S Mellesmoen is a Maple Grove, Minnesota based nurse anesthetist with 45 years of experience as Anesthesia Administration. He completed he graduation in 1980. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Gregory S Mellesmoen is R0779700 for Anesthesia Administration in Minnesota. his current practice location is 9645 Grove Cir N Ste 250, Maple Grove. Patients can reach him at 763-201-8191 or can fax him at 763-201-8192. Gregory S Mellesmoen is CRNA with specialization in Anesthesia Administration and he NPI number (Unique professional ID assigned by NPPES) is 1689633919.
Gregory S Mellesmoen is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Gregory S Mellesmoen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Experience: | 45+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1980 |
| Gender: | Male |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 9645 Grove Cir N Ste 250, Maple Grove,
Minnesota, 55369 |
| Phone: | 763-201-8191 |
| Fax: | 763-201-8192 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1254379662 |
| Enrollment ID: | I20050418000460 |
| NPI Number: | 1689633919 |
| NPI Enumeration Date: | 23 Mar, 2006 |
| NPI Last Update On: | 13 Jun, 2018 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gregory S Mellesmoen are as mentioned below.
| License Number | Specialization | State | Status | |
| R0779700 | Anesthesia Administration | Minnesota | Primary | |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Gregory S Mellesmoen has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Anesthesia Associates, Pllc (4284879701) | 9 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Gregory S Mellesmoen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 937843000 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9645 Grove Cir N Ste 250,
Maple Grove, Minnesota |
| Zip: | 55369-4466 |
| Phone Number: | 763-201-8191 |
| Fax Number: | 763-201-8192 |
Patients can reach Gregory S Mellesmoen at
9645 Grove Cir N Ste 250, Maple Grove, Minnesota or can
call to book an appointment on 763-201-8191.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.