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Kiley Buchanan

Physician Assistant β€’ Bloomington, MN

Active NPI 1457879678 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

8100 Northland Dr
Bloomington, MN 554314800

Call 9529318742 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

8100 Northland Dr

Bloomington, MN 554314800

Telephone 9529318742
Fax 9528311626
Organization at the Same NPPES Address or Phone
Park Nicollet Health Care Products Facility NPI 1548210776

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Burnsville, MN; Milford, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Park Nicollet Clinic; Tria Orthopaedic Center Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Kiley Buchanan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Kiley Buchanan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Bloomington and Minnesota

128 active clinicians are listed under Physician Assistant with a practice address in Bloomington, MN (4,007 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bloomington

24.2% of these 128 clinicians have the CMS telehealth indicator.

69.5% of these 128 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 14934

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.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240830003721

Enrollment State Jurisdiction

MN

PECOS Control ID

3678012812

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Tria Orthopaedic Center Llc

6500 Excelsior Blvd, St Louis Park, MN 554264702

Park Nicollet Clinic

5320 Hyland Greens Dr, Bloomington, MN 554373934

Phone: 9529932400

Park Nicollet Clinic

3931 Louisiana Ave S, St Louis Park, MN 554265000

Phone: 9529933123

Tria Orthopaedic Center Llc

8100 Northland Dr, Bloomington, MN 554314800

Phone: 9528318742

Secondary Practice Locations

1280 Eagle Ridge Road

Milford, OH 45150

Phone: 5138335917

14050 Fairview Dr

Burnsville, MN 553374571

Phone: 9529936500

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

24 listed
NPI 1720081672

Doctor of Medicine (M.D.)

Dr. Mark Alexander , MD

Family Medicine - Sports Medicine

NPI 1790751493

Doctor of Medicine (M.D.)

NPI 1619970571

Doctor of Medicine (M.D.)

Dr. Samuel Bugbee , MD

Family Medicine - Sports Medicine

NPI 1073772893

Doctor of Medicine (M.D.)

Cher Chang

Family Medicine - Sports Medicine

NPI 1073074472
Matthew Cyr

Physician Assistant

NPI 1508336512

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location June 19, 2024

Registered at 8100 NORTHLAND DR, BLOOMINGTON, MN 554314800 (Tel: 9529318742)

πŸ“
Updated Business Mailing Address June 19, 2024

Registered at 8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 554254516

βœ…
NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 07, 2017

Registered at 1280 EAGLE RIDGE ROAD, MILFORD, OH 45150 (Tel: 5138335917)

πŸ“
Business Mailing Address (Initial Record) September 07, 2017

Registered at 1280 EAGLE RIDGE RD, MILFORD, OH 451509679

πŸ‘€
Provider Name / Credentials (Initial Record) September 07, 2017

Recorded as KILEY BUCHANAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Specialist/Technologist

🟒
Initial NPI Registration & Enumeration September 07, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1457879678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2017
Last Update: June 19, 2024
Sole Proprietor: No

Other Physician Assistants in Bloomington

All Physician Assistants in Bloomington

Mailing Address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 554254516

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.