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

Madeleine Marie Kennedy

Individual provider Physician Assistant · NPI 1043015852

Madeleine Marie Kennedy is a Physician Assistant in Mankato, Minnesota. Qualified in 2025, 1 year ago. Practices with Mayo Clinic Health System-Southwest Minnesota Region, a 667-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2025

Practice location Address checks out

1025 Marsh St
Mankato, MN 56001-4752
Phone: (507) 625-4031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15414 (MN)

Record details

NPI number1043015852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mayo Clinic Health System-Southwest Minnesota Region — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mankato