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

Blake S. Luna, PA-C

Individual provider Physician Assistant · NPI 1154080562

Blake S. Luna, PA-C is a Physician Assistant in Woodbury, Minnesota. Qualified in 2021, 5 years ago. Practices with Tennessee Orthopaedic Alliance PA, a 358-clinician group and accepts Medicare assignment. Licensed in Minnesota and Tennessee.

Years since qualifying
5
Licensed in
MN, TN
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.

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Practice location Address checks out

2090 Woodwinds Dr
Woodbury, MN 55125-2522
Phone: (651) 968-5201
Fax: (651) 968-5903
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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 15431 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 4915 (TN)

Record details

NPI number1154080562
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 13, 2021
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

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 Tennessee Orthopaedic Alliance Pa — 358 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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