Healthcare Provider Details

I. General information

NPI: 1760805261
Provider Name (Legal Business Name): MELISSA SCHMIDT HEINONEN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA RUTH SCHMIDT

II. Dates (important events)

Enumeration Date: 02/04/2014
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 1ST AVE NE STE 310
MINNEAPOLIS MN
55413-2419
US

IV. Provider business mailing address

142 18TH AVE N.
HOPKINS MN
55343
US

V. Phone/Fax

Practice location:
  • Phone: 612-436-0295
  • Fax: 612-436-0163
Mailing address:
  • Phone: 801-633-3968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number3769
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR216400-9
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: