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Active NPI 1659142198 Individual Practitioner Female Practitioner

Taylor Kenealy , PA-C

Physician Assistant • Maplewood, MN

Professional Overview & Biography Verified Profile Summary

Taylor Kenealy, PA-C is a registered healthcare professional specializing in Physician Assistant in Maplewood, MN. Practice services are available at 1575 BEAM AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1575 Beam Ave

Maplewood, MN 551091126

Telephone 6512327348
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maplewood, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
56 Specialists

Practicing in Maplewood, MN (4026 Statewide)

Telehealth Adoption Rate
16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 14803

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.

Secondary Practice Locations

1925 Woodwinds Dr

Woodbury, MN 551254445

Phone: 6512320348

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Nathan Swenson , MD

Emergency Medicine

NPI 1033590088

Doctor of Medicine (M.D.)

Dr. Jaremy Joy , DO

Emergency Medicine

NPI 1053382036

Doctor of Osteopathic Medicine (D.O.)

NPI 1053386458

Doctor of Medicine (M.D.)

Dr. Elizabeth Smith , MD

Emergency Medicine

NPI 1093376568

Doctor of Medicine (M.D.)

Dr. Brian Schroeder , MD

Emergency Medicine

NPI 1124067681

Doctor of Medicine (M.D.)

Jennifer Kipp , PA

Physician Assistant

NPI 1124077813

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2025

Physician Assistant (License #14803 in MN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2024

Emergency Medicine (License #14803 in MN)

NPI Profile Active January 12, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2024

Registered at 1575 BEAM AVE, MAPLEWOOD, MN 551091126 (Tel: 6512327348)

📍
Updated Business Mailing Address January 12, 2024

Registered at 2829 UNIVERSITY AVE SE STE 730, MINNEAPOLIS, MN 554143279 (Tel: 6124391868)

👤
Provider Name / Credentials Updated January 12, 2024

Recorded as TAYLOR KENEALY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 12, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659142198
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2024
Last Update: April 01, 2025
Sole Proprietor: No

Mailing Address

2829 University Ave Se Ste 730

Minneapolis, MN 554143279

Phone: 6124391868

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.