| Melissa Ann Maki, PMHNP | |
|
4899 Miller Trunk Hwy Ste 208, Hermantown, MN 55811-1582 | |
| (218) 727-3888 | |
| (218) 260-4772 |
| Full Name | Melissa Ann Maki |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 4899 Miller Trunk Hwy Ste 208, Hermantown, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770683963 | NPI | - | NPPES |
| 034023500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R128720-4 (Minnesota) | Primary |
| Entity Name | Northern Waters Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316445455 PECOS PAC ID: 1355816182 Enrollment ID: O20260409002244 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Ann Maki, PMHNP 1702 Miller Trunk Hwy Ste 214, Duluth, MN 55811-4443 Ph: (218) 727-3888 | Melissa Ann Maki, PMHNP 4899 Miller Trunk Hwy Ste 208, Hermantown, MN 55811-1582 Ph: (218) 727-3888 |
Rachel Lynn Frost, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4891 Miller Trunk Hwy Ste 206, Hermantown, MN 55811 Phone: 218-306-8383 Fax: 218-875-6315 |
Pamela J Idziorek, RNNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4891 Miller Trunk Hwy, Hermantown, MN 55811 Phone: 218-626-1222 |
Anne Katherine Hendricks, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4891 Miller Trunk Hwy, Hermantown, MN 55811 Phone: 218-306-8383 Fax: 218-875-6315 |
Karissa Ann Haugen, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4891 Miller Trunk Hwy Ste 206, Hermantown, MN 55811 Phone: 218-310-8896 Fax: 218-875-6315 |
Tracy Kwapick, FNP/PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4891 Miller Trunk Hwy Ste 206, Hermantown, MN 55811 Phone: 218-306-8383 Fax: 218-875-6315 |
Kimberly Ann Johnson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4899 Miller Trunk Hwy Ste 208, Hermantown, MN 55811 Phone: 218-727-3888 Fax: 218-260-4772 |
Michelle L Carl, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 |