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

Kaneisha Monique Thompson

Individual provider Family Medicine Physician · NPI 1972168870

Kaneisha Monique Thompson is a Family Practice in Owatonna, Minnesota. Qualified in 2018, 8 years ago. Practices with Mayo Clinic Health System-Southwest Minnesota Region, a 667-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Mississippi.

Years since qualifying
8
Licensed in
MN, MS
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2200 NW 26th St
Owatonna, MN 55060-5503
Phone: (507) 451-1120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 878 Lakeland Dr, Jackson, MS 39216-4644 — (601) 984-6800

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 72491 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MS)

Record details

NPI number1972168870
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2019
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mayo Clinic Health System-Southwest Minnesota Region — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Owatonna