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

Individual provider Physician Assistant · NPI 1962690065

Mr. Phillip Charles Stewart, PA-C is a Physician Assistant in Roseville, Minnesota. Qualified in 2007, 19 years ago. Practices with St Croix Regional Medical Center, a 132-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
19
Licensed in
MN
In the registry since
2007
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

1835 County Road C W Ste 150
Roseville, MN 55113-1343
Phone: (651) 430-3800
Fax: (651) 430-3827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7373 France Ave S Ste 408, Edina, MN 55435-4549 — (651) 430-3800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1068 (MN)

Record details

NPI number1962690065
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 15, 2007
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice St. Croix Regional Medical Center — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Roseville