TEAGAN AUDREY KAUTZMAN PA-C
NPI 1205767597
Physician Assistant in Woodbury, MN

Active since May 26, 2026PECOS Enrolled
2090 WOODWINDS DR, WOODBURY, MN 55125(651) 968-5201(651) 968-5903 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Teagan Audrey Kautzman Pa-c NPPES

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

TEAGAN AUDREY KAUTZMAN PA-C (NPI 1205767597) is an individual physician assistant in Woodbury, Minnesota, licensed in Minnesota (15753) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205767597
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTEAGAN AUDREY KAUTZMANCredential: PA-C
Location Address2090 WOODWINDS DRWoodbury, MN 55125-2522
Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925
Fax(651) 968-5903
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 26, 2026
Last NPPES UpdateJune 9, 2026
NPPES CertifiedJune 9, 2026
NPI 1205767597 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 · 15753
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.
2090 WOODWINDS DR, Woodbury, MN 55125

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Teagan Audrey Kautzman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840761417
PECOS Enrollment IDI20260604001146
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.

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.

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.

Physician Assistant (Surgical)
2090 WOODWINDS DR
WOODBURY, MN 55125
Physician Assistant
2090 WOODWINDS DR
WOODBURY, MN 55125
Physician Assistant
2090 WOODWINDS DR
WOODBURY, MN 55125
Orthopaedic Surgery
2090 WOODWINDS DR
WOODBURY, MN 55125
Physical Therapist
2090 WOODWINDS DR
WOODBURY, MN 55125
Physical Therapist (Orthopedic)
2090 WOODWINDS DR
WOODBURY, MN 55125
Orthopaedic Surgery
2090 WOODWINDS DR
WOODBURY, MN 55125
Orthopaedic Surgery
2090 WOODWINDS DR, SUITE 307
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 Teagan Kautzman's NPI number?

The NPI number for Teagan Kautzman is 1205767597. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Teagan Kautzman located?

Teagan Kautzman practices at 2090 Woodwinds Dr, Woodbury, MN 55125. The listed phone number is (651) 968-5201.

What is Teagan Kautzman's specialty?

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

Is Teagan Kautzman enrolled in Medicare?

Yes. Teagan Kautzman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Teagan Kautzman was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.