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

Individual provider Physician Assistant · NPI 1972021038

Jacob Patrick Berwyn, PA-C is a Physician Assistant in Monticello, Minnesota. Qualified in 2017, 9 years ago. Practices with Stellis Health, PA, a 54-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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

1001 Hart Blvd Ste 100
Monticello, MN 55362-8929
Phone: (763) 295-2921
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11091 Jason Ave Ne Ste 1, Albertville, MN 55301-4703 — (763) 684-8300
  • 1700 Highway 25 N, Buffalo, MN 55313-1930 — (763) 682-1313

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1972021038
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESMarch 17, 2022
Certification dateMarch 17, 2022
Mailing address1700 Highway 25 N, Buffalo, MN 55313-1930

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Stellis Health, Pa — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Monticello