Individual provider Active NPI

Emil Trutwin

  • Physician Assistant
  • Sartell, MN
National Provider Identifier
1023544848
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1901 Connecticut Ave S
Sartell, MN 56377-2554
Phone
(320) 259-4100
Fax
(320) 259-8044
NPI assigned
May 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1901 Connecticut Ave S
Sartell, MN 56377-2554

Mailing address

908 5TH St NE
Rice, MN 56367-8867

Other practice location 1

3315 Roosevelt Rd Ste 200B
Saint Cloud, MN 56301-9687
Phone (320) 259-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721002743 MN Practitioner - Physician Assistant 4284904368 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Advocate Urgent Care PLLCGroup PAC ID 4880043082, 18 clinicians
MN UC Providers LTDGroup PAC ID 8729461421, 14 clinicians

Practice addresses (Care Compare)

12643 Fremont Ave
Zimmerman, MN 55398-9755
Phone (218) 838-9355

13540 Grove Dr N
Maple Grove, MN 55311-4400
Phone (952) 931-1276

415 17TH Ave N
Suite 100
Hopkins, MN 55343-7226
Phone (952) 931-1276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12431MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Welia Health CurrentSince Sep 11, 2023 Accepting new patients
County of Meeker Current Accepting new patients
Welia Health CurrentSince Sep 11, 2023 Accepting new patients
Welia Health Current Accepting new patients
County of Meeker CurrentSince Sep 1, 2024 Accepting new patients
MN UC Providers LTD CurrentSince Jul 18, 2023 Accepting new patients

Locations

415 17th Ave N
Ste 100
Hopkins, MN 55343
Phone (952) 931-1276

612 S Sibley Ave
Litchfield, MN 55355
Phone (320) 693-3242

13540 Grove Dr N
Maple Grove, MN 55311
Phone (952) 931-1276

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422

3315 Roosevelt Rd
Ste 200B
Saint Cloud, MN 56301
Phone (320) 259-4100

1901 Connecticut Ave S
Sartell, MN 56377
Phone (320) 259-4100

Interoperability endpoints

  • Direct secure messaging: emiltrutwin@stcloudortho1831.srs-direct.com
  • Direct secure messaging: etrutwin362843@direct.centracare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1023544848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 5TH ST NE",
            "city": "RICE",
            "state": "MN",
            "postal_code": "563678867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CONNECTICUT AVE S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772554",
            "telephone_number": "320-259-4100",
            "fax_number": "320-259-8044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 Roosevelt Rd Ste 200B",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563019687",
            "country_code": "US",
            "telephone_number": "320-259-4100",
            "fax_number": "320-259-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUTWIN",
        "first_name": "EMIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.