Kaitlin Buckner, P.A.
NPI 1104852094 · Physician Assistant · Woodbury, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kaitlin Buckner, P.A. is a Physician Assistant provider in Woodbury, MN (NPI 1104852094).
Provider details
- NPI number
- 1104852094
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 6669778-1206 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 10180 Se Sunnyside RdClackamas, OR 97015-8970Phone: (800) 813-2000
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2025-05-18
- Certified
- 2025-05-18
Frequently asked questions
- What is Kaitlin Buckner's NPI number?
- Kaitlin Buckner's National Provider Identifier (NPI) is 1104852094, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kaitlin Buckner's specialty?
- Kaitlin Buckner is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kaitlin Buckner located?
- Kaitlin Buckner's practice location on file with NPPES is 6043 Hudson Rd Ste 220, Woodbury, MN 55125-1033.
- What is Kaitlin Buckner's phone number?
- The practice phone number listed in the NPPES registry for Kaitlin Buckner is (651) 925-8200.
- Does Kaitlin Buckner accept Medicare?
- Kaitlin Buckner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kaitlin Buckner's NPI active?
- Yes — Kaitlin Buckner's NPI (1104852094) is active in the NPPES registry as of the last update on 2025-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.