Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristen Rae Jimenez, PA-C

Individual provider Physician Assistant · NPI 1649467697

Mrs. Kristen Rae Jimenez, PA-C is a Physician Assistant in Minneapolis, Minnesota. Qualified in 2007, 19 years ago. Practices with Fairview Express Care, a 1,964-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
19
Licensed in
MN, WI
In the registry since
2007
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

516 Delaware St SE University Of Minnesota Physicians
Minneapolis, MN 55455-0356
Phone: (612) 626-2663
Fax: (612) 626-2664
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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 10574 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 2195-023 (WI)

Record details

NPI number1649467697
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2007
Last updated in NPPESDecember 30, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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