Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386212173 Individual Practitioner Female Practitioner

Melissa Mangan , NP

Nurse Practitioner • Osseo, MN

Professional Overview & Biography Verified Profile Summary

Melissa Mangan, NP is a registered healthcare professional specializing in Nurse Practitioner in Osseo, MN. Practice services are available at 240 CENTRAL AVE STE 5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

240 Central Ave Ste 5

Osseo, MN 553694794

Telephone 6122083725
Fax 8887114015
Associated Practice Facility / Clinic
🏢 Radiant Health Collective Llc Facility NPI 1699652883

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Osseo, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Osseo, MN (2609 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN F06211243

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Hannah Lewis , FNP-BC

Nurse Practitioner - Family

NPI 1396472106

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location October 22, 2025

Registered at 240 CENTRAL AVE STE 5, OSSEO, MN 553694794 (Tel: 6122083725)

📍
Updated Business Mailing Address October 22, 2025

Registered at 240 CENTRAL AVE STE 5, OSSEO, MN 553694794 (Tel: 6122083725)

📍
Updated Practice Location May 22, 2024

Registered at 1120 WAYZATA BLVD E STE 110, WAYZATA, MN 553911984 (Tel: 9522227670)

📍
Updated Business Mailing Address May 22, 2024

Registered at 1120 WAYZATA BLVD E STE 110, WAYZATA, MN 553911984 (Tel: 9522227670)

📍
Updated Practice Location March 02, 2023

Registered at 575 9TH ST SE STE 52, MINNEAPOLIS, MN 554141399 (Tel: 9522227670)

📍
Updated Business Mailing Address March 02, 2023

Registered at 11810 36TH AVE N, PLYMOUTH, MN 554412305 (Tel: 3202328226)

NPI Profile Active June 16, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2021

Registered at 7373 FRANCE AVE S STE 606, EDINA, MN 554354552 (Tel: 9527773899)

📍
Updated Business Mailing Address June 16, 2021

Registered at 4924 XERXES AVE S UNIT 2, MINNEAPOLIS, MN 554101818 (Tel: 3202328226)

👤
Provider Name / Credentials Updated June 16, 2021

Recorded as MELISSA MANGAN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2021

Nurse Practitioner (License #F06211243 in MN)

🟢
Initial NPI Registration & Enumeration June 16, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386212173
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2021
Last Update: October 22, 2025
Sole Proprietor: No

Mailing Address

240 Central Ave Ste 5

Osseo, MN 553694794

Phone: 6122083725

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.