JESSICA TAYLOR KOEHNEN
NPI 1710631619
Physician Assistant in Minneapolis, MN

Active since February 09, 2022PECOS EnrolledAccepts Medicare Assignment
1440 MARSHALL ST NE, MINNEAPOLIS, MN 55413(920) 205-9396 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 14, 2023, Feb 9, 2022 (2 updates tracked since 2022).

About Jessica Taylor Koehnen NPPES

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

JESSICA TAYLOR KOEHNEN (NPI 1710631619) is an individual physician assistant in Minneapolis, Minnesota, licensed in Minnesota (14456) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710631619
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSICA TAYLOR KOEHNEN
Location Address1440 MARSHALL ST NEMinneapolis, MN 55413-1040
Mailing Address1440 Marshall St NeMinneapolis, MN 55413-1040
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 9, 2022
Last NPPES UpdateApril 14, 20232 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
NPI 1710631619 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 · 14456
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.
1440 MARSHALL ST NE, Minneapolis, MN 55413

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

Jessica Taylor Koehnen 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 ID9537526181
PECOS Enrollment IDI20230613001775
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 55413 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.

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 Jessica Koehnen's NPI number?

The NPI number for Jessica Koehnen is 1710631619. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Where is Jessica Koehnen located?

Jessica Koehnen practices at 1440 Marshall St NE, Minneapolis, MN 55413. The listed phone number is (920) 205-9396.

What is Jessica Koehnen's specialty?

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

Is Jessica Koehnen enrolled in Medicare?

Yes. Jessica Koehnen 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 Jessica Koehnen accept?

Health plans from HealthPartners list Jessica Koehnen 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 Jessica Koehnen was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.