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

Individual provider Physician Assistant · NPI 1003188004

Jacob C Kruger, PA-C is a Physician Assistant in Bloomington, Minnesota. Qualified in 2011, 15 years ago. Practices with Emergency Physicians Professional Association, a 271-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
15
Licensed in
MN
In the registry since
2012
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

4300 Marketpointe Dr Ste 100
Bloomington, MN 55435-5435
Phone: (528) 359-9880
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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 11069 (MN)

Record details

NPI number1003188004
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 7, 2012
Last updated in NPPESSeptember 19, 2021
Certification dateSeptember 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Emergency Physicians Professional Association — 271 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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