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

Individual provider Physician Assistant · NPI 1932730157

Kathryne Johanne Blackburn, PA-C is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2019, 7 years ago. Practices with Allina Health System, a 3,867-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Minnesota.

Years since qualifying
7
Licensed in
IA, MN
In the registry since
2020
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

913 E 26th St Ste 600
Minneapolis, MN 55404-4515
Phone: (612) 775-6200
Fax: (612) 775-6222
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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 13666 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 099600 (IA)

Record details

NPI number1932730157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 27, 2020
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 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 Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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