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

Madeline Lee Eischen Utley, PA

Individual provider Physician Assistant · NPI 1063979508

Madeline Lee Eischen Utley, PA is a Physician Assistant in Rochester, Minnesota. Qualified in 2020, 6 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
6
Licensed in
MN, WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 404 Fountain St, Albert Lea, MN 56007-2406 — (507) 373-2384
  • 2422 Alpine Ln Nw, Rochester, MN 55901-3704 — (507) 259-3196

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13422 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 5131 (WI)

Record details

NPI number1063979508
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 20, 2019
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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