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

Kaitlyn Diane Brown, PA

Individual provider Physician Assistant · NPI 1780135855

Kaitlyn Diane Brown, PA is a Physician Assistant in Eagan, Minnesota. Qualified in 2016, 10 years ago. Practices with Conviva Medical Center Management, LLC, a 562-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida and Virginia.

Years since qualifying
10
Licensed in
FL, VA
In the registry since
2016
Specialties on file
2
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 PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 211699
Eagan, MN 55121-3699
Phone: (866) 849-0692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2812 Saint Marks Dr, Dunedin, FL 34698-1926 — (727) 328-4633
  • 1840 Mease Dr Ste 401b, Safety Harbor, FL 34695-6606 — (727) 328-4633

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9109756 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 0110012238 (VA)

Record details

NPI number1780135855
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 24, 2016
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Conviva Medical Center Management, Llc — 562 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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