Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fathiya Mohamed Jeylani, PA

Individual provider Physician Assistant · NPI 1053997684

Fathiya Mohamed Jeylani, PA is a Physician Assistant in Coon Rapids, Minnesota. Qualified in 2020, 6 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9055 Springbrook Dr NW
Coon Rapids, MN 55433-5841
Phone: (763) 780-9155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3633 Bunker Lake Blvd Nw, Andover, MN 55304-7402 — (763) 421-5011

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13782 (MN)

Record details

NPI number1053997684
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 23, 2021
Last updated in NPPESAugust 23, 2023
Certification dateAugust 23, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Coon Rapids