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

Individual provider Physician Assistant · NPI 1427489772

Kaley Ingenito, PA-C is a Physician Assistant in Coon Rapids, Minnesota. Graduated from University of South Alabama College of Medicine in 2013, 13 years ago. Practices with Allina Health System, a 3,867-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Trained at
University of South Alabama College of Medicine
Licensed in
IL
In the registry since
2013
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

11850 Blackfoot St NW Ste 300
Coon Rapids, MN 55433-2772
Phone: (763) 236-9236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.004938 (IL)

Record details

NPI number1427489772
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 11, 2013
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021
Mailing address777 Park Ave W, Highland Park, IL 60035-2433

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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