JACOB PATRICK BERWYN PA-C
NPI 1972021038
Physician Assistant in Monticello, MN

Active since September 08, 2017PECOS EnrolledAccepts Medicare Assignment
1001 HART BLVD STE 100, MONTICELLO, MN 55362(763) 295-2921 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Patrick Berwyn Pa-c NPPES

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

JACOB PATRICK BERWYN PA-C (NPI 1972021038) is an individual physician assistant in Monticello, Minnesota and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with Buffalo Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972021038
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB PATRICK BERWYNCredential: PA-C
Location Address1001 HART BLVD STE 100Monticello, MN 55362-8929
Mailing Address1700 Highway 25 NBuffalo, MN 55313-1930 · (763) 682-1313 · Fax (763) 581-9090
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 8, 2017
Last NPPES UpdateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
NPI 1972021038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1001 HART BLVD STE 100, Monticello, MN 55362

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Patrick Berwyn Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163789991
PECOS Enrollment IDI20171201001916
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
24 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Buffalo Hospital

Acute Care Hospitals · Buffalo, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240076
Location303 Catlin StreetBuffalo, MN 55313 · Wright County
Birthing friendly

Centracare Health - Monticello

Critical Access Hospitals · Monticello, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241362
Location1013 Hart BoulevardMonticello, MN 55362 · Wright County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55362 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Multi-Specialty)
1001 HART BLVD STE 100
MONTICELLO, MN 55362
Internal Medicine
1001 HART BLVD STE 100
MONTICELLO, MN 55362
Advanced Practice Midwife
1001 HART BLVD STE 100
MONTICELLO, MN 55362
Nurse Practitioner (Family)
1001 HART BLVD STE 100
MONTICELLO, MN 55362
Orthopaedic Surgery
1001 HART BLVD STE 100
MONTICELLO, MN 55362
Counselor (Mental Health)
1001 HART BLVD STE 100
MONTICELLO, MN 55362
Family Medicine
1001 HART BLVD STE 100
MONTICELLO, MN 55362
Obstetrics & Gynecology
1001 HART BLVD STE 100
MONTICELLO, MN 55362

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 Jacob Berwyn's NPI number?

The NPI number for Jacob Berwyn is 1972021038. It was assigned to this individual provider in the NPPES registry on September 8, 2017.

Where is Jacob Berwyn located?

Jacob Berwyn practices at 1001 Hart Blvd Ste 100, Monticello, MN 55362. The listed phone number is (763) 295-2921.

What is Jacob Berwyn's specialty?

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

Is Jacob Berwyn enrolled in Medicare?

Yes. Jacob Berwyn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Berwyn accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Jacob Berwyn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacob Berwyn affiliated with any hospitals?

According to CMS data, Jacob Berwyn is affiliated with Buffalo Hospital and Centracare Health - Monticello.

When was this NPI record last updated?

The NPPES record for Jacob Berwyn was last updated on March 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.