Jacob Patrick Berwyn, PA-C
NPI 1972021038ActiveIndividual· Physician Assistant· Monticello, MN
Physician Assistant (PA-C) with Stellis Health, PA, practicing in Monticello, Minnesota. 50 Medicare patients in 2024, $5,983 paid; nearly all of their 271 Part D prescriptions were generic (95%). Lists Buffalo Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1972021038 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 8, 2017 |
| Last updated in NPPES | Oct 22, 2026 |
| Certified by provider | Oct 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 50 |
|---|---|
| Services billed | 389 across 34 procedure codes |
| Paid by Medicare | $5,983 |
Part D prescriptions in 2024
| Prescriptions (claims) | 271 · 273 30-day fills |
|---|---|
| Patients | 112 |
| Total drug cost | $6,383 |
| Generic share | 95% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Stellis Health, PAMonticello, MN · 55 clinicians
Hospital affiliations
- Buffalo HospitalBuffalo, MN
- Centracare Health - MonticelloMonticello, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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