Tiffany J. Mellang
NPI 1083196927ActiveIndividual· Physician Assistant· Roseville, MN
Physician Assistant with Allina Health System and 3 other groups, practicing in Roseville, Minnesota. Medicare paid $56,989 for services to 880 patients in 2024. Lists Chippewa County Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1083196927 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 6, 2018 |
| Last updated in NPPES | Jul 20, 2021 |
| Certified by provider | Jul 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1146349 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 880 |
|---|---|
| Services billed | 14,817 across 32 procedure codes |
| Paid by Medicare | $56,989 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Allina Health SystemNew Ulm, MN · 3,842 clinicians
- Midwest Radiology PARoseville, MN · 226 clinicians
- Suburban Imaging LLCCoon Rapids, MN · 149 clinicians
- Midwest Radiology Outpatient Imaging LLCSaint Paul, MN · 139 clinicians
Hospital affiliations
- Chippewa County HospitalMontevideo, MN
- M Health Fairview Southdale HospitalEdina, MN
- M Health Fairview St John's HospitalMaplewood, MN
- Meeker Memorial HospitalLitchfield, MN
- Mercy HospitalCoon Rapids, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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