Kristin M Ahdunko, PA
Individual provider Active NPI Physician Assistant · Red Wing, MN
NPI 1497724272 · NPPES record last updated Jan 14, 2021
Key facts
- NPI
- 1497724272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1848 (MN)
- Practice address
- 701 Hewitt Blvd
Red Wing, MN 55066-2848 - Phone
- (651) 267-5000
- Fax
- (651) 385-3304
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Oklahoma College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mayo Clinic Health System-Southeast Minnesota Region
Practice addresses (Care Compare)
404 W Fountain St
Albert Lea, MN 56007-2437
Phone (507) 373-2384
701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone (651) 267-5000
Hospital & facility affiliations
- Mayo Clinic Health System in Red Wing
- Mayo Clinic Health System - Cannon Falls
- Mayo Clinic Health System - Lake City
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 |
|---|---|---|---|---|
| I20130124000526 | MN | Practitioner - Physician Assistant | 0941215578 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1185 | OK | MD | Counselor |
| 1848 | MN | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Lake City | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-Lake City | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
32021 County 24 Blvd
Cannon Falls, MN 55009
Phone (507) 263-6000
500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321
701 Hewitt Blvd
Red Wing, MN 55066
Phone (507) 377-6285
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1848 | MN | Yes |
Addresses
Primary practice location
701 Hewitt Blvd
Red Wing, MN 55066-2848
Mailing address
701 Hewitt Blvd
Red Wing, MN 55066-2848
Phone (651) 267-5000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kahdunko88181@ehrdirect.mayoclinicmsg.org |
Other providers in Red Wing, MN
- Accessability Options Inc.
- Kaitlin Michelle Ackerson
- Makayla Esther Adolph
- Grace Aerts
- Matthew R Affeldt
- Asani Ajogun
- Kanko Akakpovi
- Said Haider Al Tawil
- Jack W Alexander
- Holli Pauline Alladin
All providers in Red Wing, 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 14, 2021. 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.