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ERIN ALYSSA MADYUN PA-C
NPI 1629908405
Physician Assistant - Medical in Crystal, MN

Active since May 21, 2026PECOS Enrolled
5700 BOTTINEAU BLVD STE 100, CRYSTAL, MN 55429(763) 504-6500 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, May 21, 2026 (2 updates tracked since 2026).

About Erin Alyssa Madyun Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIN ALYSSA MADYUN PA-C (NPI 1629908405) is an individual medical provider in Crystal, Minnesota, licensed in Minnesota (15766) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rogers.

NPPES Registry Identity

NPI1629908405
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameERIN ALYSSA MADYUNCredential: PA-C
Location Address5700 BOTTINEAU BLVD STE 100Crystal, MN 55429-3184
Mailing Address5700 Bottineau Blvd Ste 100Crystal, MN 55429-3184 · (763) 504-6500 · Fax (763) 537-1972
Phone(763) 504-6500
Sole ProprietorNo
Enumeration DateMay 21, 2026
Last NPPES UpdateJune 4, 20262 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1629908405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MN · 15766
5700 BOTTINEAU BLVD STE 100, Crystal, MN 55429
Open in Google Maps ↗

Secondary Practice Location 1

Location 121395 John Milless Dr Ste 100Rogers, MN 55374-4404 · Phone (763) 504-6400 · Fax (763) 504-6410

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Alyssa Madyun Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE ALBRECHT LEE PHYSICIAN ASSISTANT
Physician Assistant (Medical)
5700 BOTTINEAU BLVD STE 100
CRYSTAL, MN 55429
Hennepin County (763) 504-6500
CASEY PALMER MCALLISTER PA-C
Physician Assistant (Medical)
5700 BOTTINEAU BLVD STE 100
CRYSTAL, MN 55429
Hennepin County (763) 504-6500
SHARON KEUN HAE CHUNG LICSW
Social Worker (Clinical)
5700 BOTTINEAU BLVD STE 100
CRYSTAL, MN 55429
Hennepin County (763) 504-6590
THAI NGOC VU MD
Family Medicine
5700 BOTTINEAU BLVD STE 100
CRYSTAL, MN 55429
Hennepin County (763) 504-6500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erin Madyun's NPI number?

The NPI number for Erin Madyun is 1629908405. It was assigned to this individual provider in the NPPES registry on May 21, 2026.

Where is Erin Madyun located?

Erin Madyun practices at 5700 Bottineau Blvd Ste 100, Crystal, MN 55429. The listed phone number is (763) 504-6500.

What is Erin Madyun's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Erin Madyun enrolled in Medicare?

Yes. Erin Madyun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erin Madyun was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.