Kenzie Jackley, PHYSICIAN ASSISTANT
Physician Assistant · Edina, MN
Kenzie Jackley, PHYSICIAN ASSISTANT is a physician assistant with a practice address in Edina, Minnesota, and NPI 1396142568, issued on Dec 3, 2014. Check the license (Minnesota 11821, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Kenzie Jackley
- Credential
- PHYSICIAN ASSISTANT
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 11821 MN
Self-reported in NPPES; status is on the state search - Practice location
- 6700 France Ave S, Edina, MN 55435
- Phone
- (952) 345-3000
- Enumerated
- Dec 3, 2014
- Record last updated
- Nov 3, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (952) 345-6789
- Entity
- Type 1 · individual
Also registered at 6700 France Ave S
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Autumn Adkins, PTPhysical Therapist1518207984
- Marisa Bushman, AU.D.Audiologist1376918235
- Amber Dionne, PA-CPhysician Assistant1417318957
- Angela Everson, DPTPhysical Therapist1093192213
- Lori Kehoe, PTPhysical Therapist1942605639
- Lisa Schlieff, PTPhysical Therapist1407961675
Verify Kenzie Jackley in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 11821Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
146 physician assistant records list a practice address in Edina
They are 146 of the 3,697 NPPES records with a practice address in Edina, and 4,007 physician assistant records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 146 in Edina → All 4,007 in Minnesota → Every provider in Edina →
Other physician assistant records in Minnesota
- Ramona Aaseby-Aguilera, PA-CMinneapolis, MN1407896269
- Aimee Abben, PA-CSaint Paul, MN1881824258
- Deqa Abdi, PA-CRochester, MN1396416970
- Najma Abdi, PA-CMinneapolis, MN1255064242
- Kelsey Abraham, PA-CCambridge, MN1427666320
- Susan AbrahamSaint Paul, MN1801344072
- Tess Abrahamson, PA-CMinneapolis, MN1205334828
- Alexia Abric, PA-CRochester, MN1962156885
- Kholood Abuhadid, PA-CRochester, MN1629739313
- Stephanie Adamek, PA-CMinneapolis, MN1104247030
Common questions
What is Kenzie Jackley, PHYSICIAN ASSISTANT's NPI number?
Kenzie Jackley, PHYSICIAN ASSISTANT's National Provider Identifier (NPI) is 1396142568, issued on Dec 3, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Kenzie Jackley, PHYSICIAN ASSISTANT located?
The NPPES record lists a practice address at 6700 France Ave S, Edina, MN, 55435. Phone: (952) 345-3000. Providers update this record themselves, so call before visiting.
How can I verify Kenzie Jackley, PHYSICIAN ASSISTANT's license?
NPPES lists Minnesota license number 11821, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.