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

Vicki L Rose, PA

Individual provider Medical Physician Assistant · NPI 1669451589

Vicki L Rose, PA is a Physician Assistant in Mankato, Minnesota. Qualified in 2000, 26 years ago. Practices with Mankato Clinic Ltd, a 242-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
26
Licensed in
MN
In the registry since
2006
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

1230 E Main St
Mankato, MN 56002-8674
Phone: (507) 625-1811
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9544 (MN)

Record details

NPI number1669451589
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 10, 2006
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Mankato Clinic Ltd — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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