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

Jeremy Lee Gwilt

Individual provider Physician Assistant · NPI 1750024725

Jeremy Lee Gwilt is a Physician Assistant in Rochester, Minnesota. Qualified in 2022, 4 years ago. Practices with Diamond Lake Clinic, PC, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3049 Tamarack Ln Se, Rochester, MN 55904-6290 — (507) 319-0293

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14604 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1750024725
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 18, 2022
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Diamond Lake Clinic, P.C. — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rochester