Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154034213 Individual Practitioner Female Practitioner

Dr. Bethanie Roue Mellum , DC

Chiropractor • Wayzata, MN

Professional Overview & Biography Verified Profile Summary

Dr. Bethanie Mellum, DC is a registered healthcare professional specializing in Chiropractor in Wayzata, MN. Practice services are available at 101 LAKE ST W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 Lake St W

Wayzata, MN 553911576

Telephone 9524731773
Associated Practice Facility / Clinic
🏢 Fligge And Larson Pa Facility NPI 1366507121

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Wayzata, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.2 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
32 Specialists

Practicing in Wayzata, MN (3487 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: 2023-02-27
Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MN 7036

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1265997258

Doctor of Chiropractic

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location February 27, 2023

Registered at 101 LAKE ST W, WAYZATA, MN 553911576 (Tel: 9524731773)

NPI Profile Active January 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2023

Registered at 108 CREEK LN S, JORDAN, MN 553521202 (Tel: 9524926363)

📍
Updated Business Mailing Address January 03, 2023

Registered at 15259 FLORIST CIR, APPLE VALLEY, MN 551244006 (Tel: 6512748300)

👤
Provider Name / Credentials Updated January 03, 2023

Recorded as BETHANIE MELLUM, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2023

Chiropractor (License #7036 in MN)

🟢
Initial NPI Registration & Enumeration January 03, 2023

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: 1154034213
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2023
Last Update: February 27, 2023
Sole Proprietor: No

Mailing Address

15259 Florist Cir

Apple Valley, MN 551244006

Phone: 6512748300

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.