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CARLYN DEKONING RUDBERG PA-C
NPI 1689853145
Physician Assistant in Saint Paul, MN

Active since October 31, 2007
4100 HAMLINE AVE N, SAINT PAUL, MN 55112(866) 389-2727 Get Directions Write a Review

NPPES record last updated: March 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2020, Mar 28, 2017, Mar 23, 2017 and 1 more (4 updates tracked since 2017).

About Carlyn Dekoning Rudberg Pa-c NPPES

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

CARLYN DEKONING RUDBERG PA-C (NPI 1689853145) is an individual physician assistant in Saint Paul, Minnesota, licensed in Minnesota (10371) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1689853145
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLYN DEKONING RUDBERGCredential: PA-C
Location Address4100 HAMLINE AVE NSaint Paul, MN 55112-5700
Mailing Address8251 Columbine RdEden Prairie, MN 55344-7610 · (866) 389-2727
Phone(866) 389-2727
Sole ProprietorNo
Enumeration DateOctober 31, 2007
Last NPPES UpdateMarch 14, 20204 updates tracked since enumeration
NPPES CertifiedMarch 14, 2020
✔ NPI 1689853145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 10371
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4100 HAMLINE AVE N, Saint Paul, MN 55112
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Other Names 1

Former Name (1)Carlyn Joy Dekoning Pa-c

Other Identifiers 1

OtherT760272391313MN · Driver's License

Other Providers at the Same Location NPPES

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

LINDSEY LEIGH NELSON
Nurse Practitioner (Family)
4100 HAMLINE AVE N
SAINT PAUL, MN 55112
Ramsey County (651) 582-6911

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 Carlyn Rudberg's NPI number?

The NPI number for Carlyn Rudberg is 1689853145. It was assigned to this individual provider in the NPPES registry on October 31, 2007. The provider is also known as Carlyn Joy Dekoning Pa-C.

Where is Carlyn Rudberg located?

Carlyn Rudberg practices at 4100 Hamline Ave N, Saint Paul, MN 55112. The listed phone number is (866) 389-2727.

What is Carlyn Rudberg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Carlyn Rudberg was last updated on March 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.