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Mekenna Paige Frederick , PA-C

Physician Assistant β€’ Rochester, MN

Active NPI 1316744642 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

200 1st St Sw
Rochester, MN 559050001

Call 5072842511 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

200 1st St Sw

Rochester, MN 559050001

Telephone 5072842511
Organization at the Same NPPES Address or Phone
Mayo Collaborative Services, Inc Facility NPI 1093792350

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: Physicians Immediate Care North Chicago Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Graduation Year

2025

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

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 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, CMS release of October 2, 2026.

NPI first issued

2025

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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mekenna Frederick 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 Mekenna Frederick 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 Rochester and Minnesota

502 active clinicians are listed under Physician Assistant with a practice address in Rochester, MN (4,067 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Rochester

24.1% of these 502 clinicians have the CMS telehealth indicator.

77.5% of these 502 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, 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: 2026-08-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 15860

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085.011483

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

I20250906000675

Enrollment State Jurisdiction

IL

PECOS Control ID

1355843541

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, CMS release of October 2, 2026

Physicians Immediate Care North Chicago Llc

121 W N Ave, Chicago, IL 606101315

Phone: 3126435606

Physicians Immediate Care North Chicago Llc

3909 N Western Ave, Chicago, IL 606183741

Phone: 7737399200

Physicians Immediate Care North Chicago Llc

4211 N Cicero Ave, Chicago, IL 606411651

Phone: 7737941000

Physicians Immediate Care North Chicago Llc

6140 N Broadway St, Chicago, IL 606602538

Phone: 7734359028

Physicians Immediate Care North Chicago Llc

811 S State St, Chicago, IL 606052225

Phone: 3125669510

Physicians Immediate Care North Chicago Llc

825 S State St, Chicago, IL 606052225

Phone: 3125669510

Clinicians Sharing This Practice Address or Phone

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

36 listed
Dr. Mohammad Alhousani , MD

Internal Medicine - Hematology & Oncology

NPI 1003302019

Doctor of Medicine (M.D.)

Dr. Gregory Anderson , MD

Orthopaedic Surgery

NPI 1003295593

Doctor of Medicine (M.D.)

Dr. Catherine Arnold , MD

Psychiatry & Neurology - Neurology

NPI 1003227554

Doctor of Medicine (M.D.)

Dr. Karun Badwal , DO

Internal Medicine - Geriatric Medicine

NPI 1003268483

Doctor of Osteopathic Medicine (D.O.)

Nathanael Bailey

Pathology - Clinical Pathology/Laboratory Medicine

NPI 1003013814
Amy Behnken , CNP

Nurse Practitioner

NPI 1003225244

Certified Nurse Practitioner

Career & Practice History Timeline

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

14 Historical Events
πŸ“
Updated Practice Location August 25, 2026

Registered at 200 1ST ST SW, ROCHESTER, MN 559050001 (Tel: 5072842511)

πŸ“
Updated Business Mailing Address August 25, 2026

Registered at PO BOX 860912, MINNEAPOLIS, MN 554860912 (Tel: 5072842511)

πŸ“
Updated Practice Location August 27, 2025

Registered at 6140 N BROADWAY ST, CHICAGO, IL 606602538 (Tel: 7734359028)

πŸ“
Updated Business Mailing Address August 27, 2025

Registered at 601 W JACKSON BLVD UNIT 803, CHICAGO, IL 606615641 (Tel: 3088502552)

πŸ‘€
Provider Name / Credentials Updated August 27, 2025

Recorded as MEKENNA FREDERICK, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2025

Physician Assistant (license number reported to NPPES: IL 085.011483)

πŸ”„
NPI Profile Reactivated August 25, 2025

Record officially reactivated for active practice on August 25, 2025

⚠️
NPI Profile Deactivated August 06, 2025

NPPES lists this NPI as deactivated as of August 06, 2025; the reason is not published.

βœ…
NPI Profile Active February 25, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 25, 2025

Registered at 5330 S 62ND ST, LINCOLN, NE 685162324 (Tel: 3088502552)

πŸ“
Business Mailing Address (Initial Record) February 25, 2025

Registered at 5330 S 62ND ST, LINCOLN, NE 685162324 (Tel: 3088502552)

πŸ‘€
Provider Name / Credentials (Initial Record) February 25, 2025

Recorded as MEKENNA FREDERICK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2025

Technician

🟒
Initial NPI Registration & Enumeration February 25, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1316744642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2025
Last Update: August 25, 2026
Sole Proprietor: No

Other Physician Assistants in Rochester

All Physician Assistants in Rochester

Mailing Address

Po Box 860912

Minneapolis, MN 554860912

Phone: 5072842511

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.