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

Mackenzie Lea Kusilek, PA-C

Individual provider Physician Assistant · NPI 1962976324

Mackenzie Lea Kusilek, PA-C is a Physician Assistant in Oak Park Heights, Minnesota. Qualified in 2018, 8 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
8
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

5715 Memorial Ave N
Oak Park Heights, MN 55082-1093
Phone: (651) 439-8807
Fax: (651) 439-0232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 921 Greeley St S, Stillwater, MN 55082-5935 — (952) 883-7165

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15180 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 8208-23 (WI)

Record details

NPI number1962976324
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 17, 2019
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Oak Park Heights