IndividualActive
Erin Madyun, PA-C
NPI 1629908405 · Medical Physician Assistant · Crystal, MN
Provider details
- NPI number
- 1629908405
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 15766 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5700 Bottineau Blvd Ste 100
Crystal, MN 55429-3184
Phone: (763) 504-6500
Approximate (ZIP-level) locationGet directions
Mailing address
5700 Bottineau Blvd Ste 100
Crystal, MN 55429-3184
Additional practice locations (1)
- 21395 John Milless Dr Ste 100Rogers, MN 55374-4404Phone: (763) 504-6400Fax: (763) 504-6410
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.