KAITLIN BUCKNER P.A.
NPI 1104852094
Physician Assistant in Woodbury, MN
About Kaitlin Buckner P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLIN BUCKNER P.A. (NPI 1104852094) is an individual physician assistant in Woodbury, Minnesota, licensed in Minnesota (10495) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clackamas, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
Kaitlin Buckner P.a. 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODBURY, MN 55125
WOODBURY, MN 55125
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 Kaitlin Buckner's NPI number?
The NPI number for Kaitlin Buckner is 1104852094. It was assigned to this individual provider in the NPPES registry on June 23, 2006.
Where is Kaitlin Buckner located?
Kaitlin Buckner practices at 6043 Hudson Rd Ste 220, Woodbury, MN 55125. The listed phone number is (651) 925-8200.
What is Kaitlin Buckner's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kaitlin Buckner enrolled in Medicare?
Yes. Kaitlin Buckner 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.
What insurance does Kaitlin Buckner accept?
Health plans from HealthPartners and Kaiser Permanente list Kaitlin Buckner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kaitlin Buckner was last updated on May 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kaitlin Buckner, P.A. · NPI 1104852094
Physician Assistant physician in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1104852094 (Entity type: Individual)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 10495 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6043 HUDSON RD STE 220, Woodbury, MN 55125-1033
- **Phone:** (651) 925-8200 · **Fax:** (651) 925-8201
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** May 18, 2025
- **Other identifiers:** Medicaid 20047220A (OK)
---
Source: [NPI Profile](https://npiprofile.com/npi/1104852094) · Data from the CMS NPPES public registry.