1. Home
  2. Directory
  3. Minnesota
  4. Rochester
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAKENNA JEAN VICKERY
NPI 1720936693
Physician Assistant in Rochester, MN

Active since March 17, 2026
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 11, 2026, Mar 17, 2026 (2 updates tracked since 2026).

About Makenna Jean Vickery NPPES

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

MAKENNA JEAN VICKERY (NPI 1720936693) is an individual physician assistant in Rochester, Minnesota, licensed in Minnesota (15801) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1720936693
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAKENNA JEAN VICKERY
Location Address200 1ST ST SWRochester, MN 55905-0002
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Phone(507) 284-2511
Sole ProprietorNo
Enumeration DateMarch 17, 2026
Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1720936693 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 · 15801
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.
200 1ST ST SW, Rochester, MN 55905
Open in Google Maps ↗

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.

EMILY LEASURE MD
Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NATHANAEL BAILEY
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
NICOLE S NIPPER NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
BRANDI D'SOUZA NP
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
DR. JODI M. MOORE-WEISS OD
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JENNIFER L KERKVLIET MA
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
EMMANUEL J LUJERO CRNA
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511
JUAN PABLO BRITO CAMPANA M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905
Olmsted County (507) 284-2511

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 Makenna Vickery's NPI number?

The NPI number for Makenna Vickery is 1720936693. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Where is Makenna Vickery located?

Makenna Vickery practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Makenna Vickery's specialty?

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

When was this NPI record last updated?

The NPPES record for Makenna Vickery was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.