Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Corine Nicole Mclellan , DDS

Dentist - General Practice • Blaine, MN

Active NPI 1629137500 Individual Practitioner Female Practitioner
Practice location in NPPES

12904 Central Ave Ne
Blaine, MN 554344147

Call 7637551330 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12904 Central Ave Ne

Blaine, MN 554344147

Telephone 7637551330
Fax 7637554305
Organization at the Same NPPES Address or Phone
Pdg,p.a. Facility NPI 1215003371

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

45 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$143 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Blaine and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Dentist - General Practice in Blaine, MN (2024, 14 clinicians with data). Median for this group: 51. Middle half: 22 to 70.

More Part D prescriptions than 60% of clinicians listed under Dentist - General Practice in Minnesota (2024, 887 clinicians with data). Median for this group: 30. Middle half: 19 to 58.

Part D drug cost

A lower Part D drug cost than 65% of clinicians listed under Dentist - General Practice in Blaine, MN (2024, 14 clinicians with data). Median for this group: $213. Middle half: $119 to $342.

Close to the middle for clinicians listed under Dentist - General Practice in Minnesota (2024, 887 clinicians with data). Median for this group: $115. Middle half: $63 to $240.

32 active clinicians are listed under Dentist - General Practice with a practice address in Blaine, MN (2,178 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Blaine

0% of these 32 clinicians have the CMS telehealth indicator.

0% of these 32 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 41 463 $142.74 31

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MN D11538

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
NPI 1578089207

Doctor of Dental Surgery

Dr. Jose Gigato Gonzalez , DDS

Dentist - General Practice

NPI 1356026355

Doctor of Dental Surgery

Dr. Robb Kozlowski , DDS

Dentist - General Practice

NPI 1215090659

Doctor of Dental Surgery

Jeffrey Ruhlmann

Dentist - General Practice

NPI 1013355593
Dr. Stephen Sawyer , DDS

Dentist - General Practice

NPI 1043379514

Doctor of Dental Surgery

Dr. Peter Thompson , DDS

Dentist - General Practice

NPI 1477600807

Doctor of Dental Surgery

Career & Practice History

NPI enumerated December 07, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1629137500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Other Dentist - General Practices in Blaine

All Dentist - General Practices in Blaine

Mailing Address

11716 Arnold Palmer Trl

Blaine, MN 554494520

Phone: 7637170007

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.