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

MS. Kimberly G Cunningham, PA-C

Individual provider Physician Assistant · NPI 1558349431

MS. Kimberly G Cunningham, PA-C is a Physician Assistant in Coon Rapids, Minnesota. Qualified in 1997, 29 years ago. Practices with Bhatti Gastroenterology Consultants PA, a 15-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
29
Licensed in
MN
In the registry since
2006
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

11850 Blackfoot St NW Ste 130
Coon Rapids, MN 55433-2583
Phone: (763) 236-9000
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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 9379 (MN)

Record details

NPI number1558349431
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2006
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Bhatti Gastroenterology Consultants Pa — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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