Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kaitlin Buckner, P.A.
Physician Assistant in Woodbury, MN · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1104852094
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Registry record
Entity type Individual (Type 1)
Name Kaitlin Buckner
Credential P.A.
Sex Female
Practice address 6043 Hudson Rd Ste 220, Woodbury, MN, 55125
Phone (651) 925-8200
Fax (651) 925-8201
Enumeration date Jun 23, 2006
Last updated in NPPES May 18, 2025
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 6669778-1206 (UT) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 3127 (AZ) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1414 (OK) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA223121 (OR) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PADA1230 (AK) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA65471 (CA) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 10495 (MN) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20047220A | Medicaid | OK | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Kaitlin Buckner's NPI record?
Cross-check NPI 1104852094 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1104852094 active?
Yes, as of the latest NPPES snapshot, NPI 1104852094 is active (record last updated 2025-05-18).
Other providers at this practice address
Browse all → Rebekah Wilson Physician Assistant · Woodbury, MN NPI 1215955398 Valhalla Place, LLC Community/Behavioral Health Agency · Woodbury, MN NPI 1881856664 Ingrid Tucci Mental Health Counselor · Woodbury, MN NPI 1619378320 Valhalla Place Clinic, P.A. Clinic/Center · Woodbury, MN NPI 1780074849 Jennifer Frank Professional Counselor · Woodbury, MN NPI 1710406129 Andrea Schultz Addiction (Substance Use Disorder) Counselor · Woodbury, MN NPI 1518568807 Amy Kershaw Mental Health Counselor · Woodbury, MN NPI 1902568934
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-18.