MADELEINE MARIE KENNEDY
NPI 1043015852
Physician Assistant in Mankato, MN

Active since February 17, 2025PECOS EnrolledAccepts Medicare Assignment
1025 MARSH ST, MANKATO, MN 56001(507) 625-4031 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2025, Feb 17, 2025 (2 updates tracked since 2025).

About Madeleine Marie Kennedy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADELEINE MARIE KENNEDY (NPI 1043015852) is an individual physician assistant in Mankato, Minnesota, licensed in Minnesota (15414) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043015852
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELEINE MARIE KENNEDY
Location Address1025 MARSH STMankato, MN 56001-4752
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 625-4031
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 17, 2025
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
NPI 1043015852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 15414
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1025 MARSH ST, Mankato, MN 56001

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Madeleine Marie Kennedy is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345733002
PECOS Enrollment IDI20251202002483
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System - Mankato

Acute Care Hospitals · Mankato, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240093
Location1025 Marsh StreetMankato, MN 56001 · Blue Earth County
Emergency services Birthing friendly

Mayo Clinic Health System - Fairmont

Acute Care Hospitals · Fairmont, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240166
Location800 Medical Center DriveFairmont, MN 56031 · Martin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Anesthesiology
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner (Family)
1025 MARSH ST
MANKATO, MN 56001
Neurological Surgery
1025 MARSH ST
MANKATO, MN 56001
Nurse Practitioner
1025 MARSH ST
MANKATO, MN 56001
Pharmacist
1025 MARSH ST
MANKATO, MN 56001
Nurse Anesthetist, Certified Registered
1025 MARSH ST
MANKATO, MN 56001
Internal Medicine (Interventional Cardiology)
1025 MARSH ST
MANKATO, MN 56001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madeleine Kennedy's NPI number?

The NPI number for Madeleine Kennedy is 1043015852. It was assigned to this individual provider in the NPPES registry on February 17, 2025.

Where is Madeleine Kennedy located?

Madeleine Kennedy practices at 1025 Marsh St, Mankato, MN 56001. The listed phone number is (507) 625-4031.

What is Madeleine Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madeleine Kennedy enrolled in Medicare?

Yes. Madeleine Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Madeleine Kennedy affiliated with any hospitals?

According to CMS data, Madeleine Kennedy is affiliated with Mayo Clinic Health System - Mankato and Mayo Clinic Health System - Fairmont.

When was this NPI record last updated?

The NPPES record for Madeleine Kennedy was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.