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

Josh Kruize

Individual provider Physician Assistant · NPI 1144857673

Josh Kruize is a Physician Assistant in Wayzata, Minnesota. Qualified in 2020, 6 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020

Practice location Address checks out

250 Central Ave N Ste 228
Wayzata, MN 55391-1208
Phone: (952) 993-8250
Show map & directions

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

Additional practice locations (2)

  • 3200 Grand Ave, Des Moines, IA 50312-4104 — (515) 271-1569
  • 200 Elm St N, Onamia, MN 56359-7901 — (320) 532-3154

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13454 (MN)

Record details

NPI number1144857673
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wayzata