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Kai Song Erickson

Physician Assistant β€’ Plymouth, MN

Active NPI 1366202368 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2855 Campus Dr
Plymouth, MN 554412649

Call 7635777160 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

2855 Campus Dr

Plymouth, MN 554412649

Telephone 7635777160
Fax 7635777074
Organization at the Same NPPES Address or Phone
Allina Health System Facility NPI 1295799518

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 1 additional practice-address record in Saint Paul, MN. See the list

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

CMS Doctors and Clinicians lists 2 distinct group names: Allina Health System; Emergency Care Consultants Pa. 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

2024

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)

Kai Erickson 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 Kai Erickson 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 Plymouth and Minnesota

54 active clinicians are listed under Physician Assistant with a practice address in Plymouth, MN (4,065 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Plymouth

13% of these 54 clinicians have the CMS telehealth indicator.

87% of these 54 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: 2026-08-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MN 15625

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

I20260209003340

Enrollment State Jurisdiction

MN

PECOS Control ID

8921537705

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

Emergency Care Consultants Pa

333 Smith Ave N, Saint Paul, MN 551022344

Phone: 6512418000

Allina Health System

2855 Campus Dr, Plymouth, MN 554412649

Phone: 7635777160

Secondary Practice Locations

333 Smith Ave N

Saint Paul, MN 551022344

Phone: 6512418755

Clinicians Sharing This Practice Address or Phone

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

12 listed
Emma Boone , PA

Physician Assistant

NPI 1609544956

Physician Assistant

Patrick Denman , PA-C

Physician Assistant

NPI 1164759528

Physician Assistant (Certified)

Dr. Matthew Dummer , MD

Emergency Medicine

NPI 1407416001

Doctor of Medicine (M.D.)

Dr. Daria Hunter , MD

Emergency Medicine

NPI 1871172197

Doctor of Medicine (M.D.)

Ashley Koller , PA-C

Physician Assistant - Medical

NPI 1932454691

Physician Assistant (Certified)

NPI 1811424179

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location August 20, 2026

Registered at 2855 CAMPUS DR, PLYMOUTH, MN 554412649 (Tel: 7635777160)

🏒
Secondary Practice Location Registered August 20, 2026

Additional practice office at 333 Smith Ave N, Saint Paul, MN 551022344

πŸ“
Updated Practice Location January 28, 2026

Registered at 333 SMITH AVE N, SAINT PAUL, MN 551022344 (Tel: 6512418755)

πŸ“
Updated Business Mailing Address January 28, 2026

Registered at 2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 554143279

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2026

Physician Assistant (license number reported to NPPES: MN 15625)

βœ…
NPI Profile Active March 19, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 19, 2024

Registered at 333 CEDAR ST, NEW HAVEN, CT 065103206 (Tel: 2034324771)

πŸ“
Business Mailing Address (Initial Record) March 19, 2024

Registered at 333 CEDAR ST, NEW HAVEN, CT 065103206 (Tel: 2034324771)

πŸ‘€
Provider Name / Credentials (Initial Record) March 19, 2024

Recorded as KAI ERICKSON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 19, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366202368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2024
Last Update: August 20, 2026
Sole Proprietor: No

Other Physician Assistants in Plymouth

All Physician Assistants in Plymouth

Mailing Address

2829 University Ave Se Ste 730

Minneapolis, MN 554143279

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.