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

Jessica Taylor Koehnen

Individual provider Physician Assistant · NPI 1710631619

Jessica Taylor Koehnen is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2022, 4 years ago. Practices with Sasaki Medical LLC, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1440 Marshall St NE
Minneapolis, MN 55413-1040
Phone: (920) 205-9396
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14456 (MN)

Record details

NPI number1710631619
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 9, 2022
Last updated in NPPESApril 14, 2023
Certification dateApril 14, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Sasaki Medical Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Minneapolis