Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kenzie Jackley, PHYSICIAN ASSISTANT

Physician Assistant in Edina, MN · enumerated 2014.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396142568

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Registry record

Entity type Individual (Type 1)

Name Kenzie Jackley

Credential PHYSICIAN ASSISTANT

Sex Female

Practice address 6700 France Ave S, Suite 300, Edina, MN, 55435

Phone (952) 345-3000

Fax (952) 345-6789

Enumeration date Dec 3, 2014

Last updated in NPPES Nov 3, 2020

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 11821 (MN) Primary

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.

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Frequently asked questions

How do I verify Kenzie Jackley's NPI record?

Cross-check NPI 1396142568 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1396142568 active?

Yes, as of the latest NPPES snapshot, NPI 1396142568 is active (record last updated 2020-11-03).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-03.