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

Erin Alyssa Madyun, PA-C

Individual provider Medical Physician Assistant · NPI 1629908405

Erin Alyssa Madyun, PA-C is a Physician Assistant in Crystal, Minnesota. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Minnesota.

Years since qualifying
1
Licensed in
MN
In the registry since
2026
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

5700 Bottineau Blvd Ste 100
Crystal, MN 55429-3184
Phone: (763) 504-6500
Show map & directions

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

Additional practice locations (1)

  • 21395 John Milless Dr Ste 100, Rogers, MN 55374-4404 — (763) 504-6400

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 15766 (MN)

Record details

NPI number1629908405
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 21, 2026
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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