Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessie Rose Wilburn, PA-C

Individual provider Physician Assistant · NPI 1407415201

Jessie Rose Wilburn, PA-C is a Physician Assistant in Rochester, Minnesota. Qualified in 2019, 7 years ago. Practices with Salida Hospital District, a 100-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
7
Licensed in
MN, WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 510 North St Ste 7, Pittsfield, MA 01201-4127 — (413) 499-0237

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13406 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 5070 (WI)

Record details

NPI number1407415201
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Salida Hospital District — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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