Individual provider · Type 1 NPI

Mekenna Paige Frederick, PA-C

Physician Assistant · Rochester, MN

NPI number 1316744642 Active · reactivated Aug 25, 2025

Practice location

200 1st St SW
Rochester, MN 55905-0001

Call (507) 284-2511 Map

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085.011483 (IL)
Physician Assistant Primary 363A00000X15860 (MN)

Physician Assistant: 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, orde…

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About NPI 1316744642

Mekenna Paige Frederick, PA-C's National Provider Identifier is 1316744642, issued on Feb 25, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rochester, MN. The record was last updated on Aug 25, 2026.