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Kristin K. Mellgren, PA-C

NPI 1316976236ActiveIndividual· Physician Assistant· Sartell, MN

Physician Assistant (PA-C) with Small Holdings PA, practicing in Sartell, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $389,871 for 671 claims, against $66,180 paid for services in 2024.

Overview

NPI1316976236
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedJul 2, 2006
Last updated in NPPESSep 5, 2025
Certified by providerSep 5, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X9855MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients398
Services billed2,000 across 30 procedure codes
Paid by Medicare$66,180

Part D prescriptions in 2024

Prescriptions (claims)671 · 796 30-day fills
Patients267
Total drug cost$389,871
Generic share91% of claims

Medicare sources and data years

Education and affiliations

Graduation year2003
Medicare specialtyPhysician Assistant

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Sartell

All 37 physician assistants in Sartell · All physician assistants in Minnesota