Melanie L Mattingly is a Saint Paul, Minnesota based nurse anesthetist with 23 years of experience as Anesthesia Administration. She completed she graduation from Georgetown University School Of Medicine in 2002. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Melanie L Mattingly is R1686656 for Anesthesia Administration in Minnesota. Her current practice location is 640 Jackson St, Mail Stop 11503p, Saint Paul. Patients can reach her at 651-254-3456 or can fax her at 651-254-3048. Melanie L Mattingly is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1043267511. Melanie L Mattingly 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:
Melanie L Mattingly 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:
23+ years
Medical School Attended:
Georgetown University School Of Medicine
Graduation Year:
2002
Gender:
Female
Accepts Medicare Assignment:
Yes
Practice Address:
640 Jackson St, Mail Stop 11503p, Saint Paul, Minnesota, 55101-2502
Phone:
651-254-3456
Fax:
651-254-3048
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:
9436052503
Enrollment ID:
I20090427000186
NPI Number:
1043267511
NPI Enumeration Date:
28 May, 2006
NPI Last Update On:
28 Jan, 2010
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Melanie L Mattingly are as mentioned below.
License Number
Specialization
State
Status
R1686656
Anesthesia Administration
Minnesota
Primary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Piedmont Fayette Hospital (110215)
Fayetteville, GA
Acute Care Hospital
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 Melanie L Mattingly has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Piedmont Anesthesia Associates Llc (3577457183)
239
Progressive Anesthesia Llc (7618148263)
15
Spectrum Anesthesia, Llc (8921363268)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Melanie L Mattingly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
390428800
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:
8100 34th Ave S, 21110q Bloomington, Minnesota
Zip:
55425-1672
Phone Number:
952-883-7961
Fax Number:
952-883-5395
Patients can reach Melanie L Mattingly at 640 Jackson St, Mail Stop 11503p, Saint Paul, Minnesota or can call to book an appointment on 651-254-3456.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 March, 2025.