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

Derek Hunwardsen, PA

Individual provider Medical Physician Assistant · NPI 1053012807

Derek Hunwardsen, PA is a Physician Assistant in Saint Cloud, Minnesota. Qualified in 2024, 2 years ago. Practices with University of Minnesota Physicians, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2023
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

1900 Centracare Cir
Saint Cloud, MN 56303-5000
Phone: (320) 253-2663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3200 Grand Ave, Des Moines, IA 50312-4104 — (515) 271-1569

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 15005 (MN)

Record details

NPI number1053012807
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 16, 2023
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address8350 Cascade Ave Unit 8207, West Des Moines, IA 50266-8715

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Minnesota Physicians — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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