Individual provider · Type 1 NPI

Kaitlyn Mellesmoen, PA-C

Physician Assistant · Edina, MN

NPI number 1790451540 Active

Practice location

7400 France Ave S Ste 100
Edina, MN 55435-4738

Call (763) 537-6000 Map

Mailing address

2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046

Other practice locations

  • 2104 Northdale Blvd NW Ste 220, Coon Rapids, MN 55433-3046 · (763) 537-6000
  • 7390 France Ave S, Edina, MN 55435-4500 · (763) 537-6000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X13559 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1790451540

Kaitlyn Mellesmoen, PA-C's National Provider Identifier is 1790451540, issued on Aug 20, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Edina, MN. The record was last updated on Nov 19, 2025.