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Kaley Ingenito , PA-C

Physician Assistant β€’ Coon Rapids, MN

Active NPI 1427489772 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

11850 Blackfoot St Nw Ste 300
Coon Rapids, MN 554332772

Call 7632369236 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

11850 Blackfoot St Nw Ste 300

Coon Rapids, MN 554332772

Telephone 7632369236
Organization at the Same NPPES Address or Phone
Allina Health System Facility NPI 1598363707

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

CMS Doctors and Clinicians lists 1 group name: Allina Health System. 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

Medical School

University Of South Alabama College Of Medicine

Graduation Year

2013

Industry payments (Open Payments)

Fewer than 11 payment records totaling $19.75 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 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

2013

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)

Kaley Ingenito 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 Kaley Ingenito 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 Coon Rapids and Minnesota

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Coon Rapids

30.1% of these 83 clinicians have the CMS telehealth indicator.

90.4% of these 83 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2023

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $19.75.

Manufacturer Payment Nature Product Type Amount ($)
Applied Medical Resources Corporation
Food and Beverage
In-kind items and services
β€” General $19.75

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-03-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085.004938

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.

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

I20180705000222

Enrollment State Jurisdiction

MN

PECOS Control ID

8325262470

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

Allina Health System

4050 Coon Rapids Blvd Nw, Coon Rapids, MN 554332522

Phone: 7632366000

Allina Health System

3960 Coon Rapids Blvd Nw, Coon Rapids, MN 554332589

Allina Health System

440 Elm St E, Annandale, MN 553021109

Phone: 3206825225

Clinicians Sharing This Practice Address or Phone

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

20 listed
Viginia Baeker-Deutsch , OGNP

Nurse Practitioner - Women's Health

NPI 1831155050
Dr. Connor Baker , MD

Obstetrics & Gynecology

NPI 1316524366

Doctor of Medicine (M.D.)

Debra Burdick , WHCNP

Nurse Practitioner

NPI 1427014240
NPI 1487381091

Licensed Independent Clinical Social Worker

Dr. Nancy Dickerson , MD

Obstetrics & Gynecology

NPI 1053378851

Doctor of Medicine (M.D.)

Dr. Anna Drewry , MD

Obstetrics & Gynecology

NPI 1770932626

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
πŸ“
Updated Practice Location October 25, 2018

Registered at 11850 BLACKFOOT ST NW STE 300, COON RAPIDS, MN 554332772 (Tel: 7632369236)

βœ…
NPI Profile Active December 11, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 11, 2013

Registered at 777 PARK AVE W, HIGHLAND PARK, IL 600352433 (Tel: 8474328000)

πŸ“
Business Mailing Address (Initial Record) December 11, 2013

Registered at 777 PARK AVE W, HIGHLAND PARK, IL 600352433 (Tel: 8474328000)

πŸ‘€
Provider Name / Credentials (Initial Record) December 11, 2013

Recorded as KALEY INGENITO, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2013

Physician Assistant (license number reported to NPPES: IL 085.004938)

🟒
Initial NPI Registration & Enumeration December 11, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1427489772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2013
Last Update: March 11, 2021
Sole Proprietor: No

Other Physician Assistants in Coon Rapids

All Physician Assistants in Coon Rapids

Mailing Address

777 Park Ave W

Highland Park, IL 600352433

Phone: 8474328000

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.