Kaley Anne Gadbois, PA-C
Individual provider Active NPI Physician Assistant · Baxter, MN
NPI 1295088201 · NPPES record last updated Jan 7, 2016
Key facts
- NPI
- 1295088201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1822 (MN)
- Practice address
- 13060 Isle Dr
Baxter, MN 56425-8331 - Phone
- (218) 828-2880
- NPI assigned
- Oct 16, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Brainerd Medical Center Inc
St Josephs Medical Center
Practice addresses (Care Compare)
13060 Isle Dr
Baxter, MN 56425-8331
Phone (218) 454-5935
2014 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 829-7812
2024 S 6TH St
Brainerd, MN 56401-4529
Phone (218) 828-2880
24087 Cuyuna St
Deerwood, MN 56444-3301
Phone (218) 833-5160
523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 828-7394
Hospital & facility affiliations
- Essentia Health St Joseph'S Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121215000013 | MN | Practitioner - Physician Assistant | 1052563228 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Medical Center | Current |
Accepting new patients | |
| St Joseph'S Medical Center | Current |
Accepting new patients | |
| Brainerd Medical Center Inc. | Current |
Accepting new patients | |
| Brainerd Medical Center Inc | Current |
Accepting new patients | |
| Brainerd Medical Center Inc | Past | Accepting new patients |
Locations
2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880
523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394
13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920
24087 Cuyuna St
Deerwood, MN 56444
Phone (218) 833-5160
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1822 | MN | Yes |
Addresses
Primary practice location
13060 Isle Dr
Baxter, MN 56425-8331
Mailing address
523 N 3Rd St
Brainerd, MN 56401-3054
Phone (218) 829-2861
Other providers in Baxter, MN
- Miranda Lynne Frame
- Lexie Ann Freeman
- Maren Elizabeth Friemann
- Bryana Fuentes
- James A Furda
- Justin James Gangestad
- Tanya Ruby Garson
- Rebecca Lynn Gatton
- Steven Ray Gatton
- Tori Lynn Geisler
All providers in Baxter, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.