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

Taylor Fredrickson, PA-C

Individual provider Geriatric Medicine (Family Medicine) Physician · NPI 1942889225

Taylor Fredrickson, PA-C is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2021, 5 years ago. Practices with Skin Professionals West PC, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone: (651) 241-8755
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13674 (MN)
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X · Licence 13674 (MN)

Record details

NPI number1942889225
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021
Mailing address2829 University Ave Se Ste 730, Minneapolis, MN 55414-3279

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Skin Professionals West Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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