Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750328563 Individual Practitioner Male Practitioner

Edwin A Novak , PA-C

Physician Assistant • Park Rapids, MN

Professional Overview & Biography Verified Profile Summary

Edwin Novak, PA-C is a registered healthcare professional specializing in Physician Assistant in Park Rapids, MN. Practice services are available at 705 PLEASANT AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

705 Pleasant Ave S

Park Rapids, MN 564701440

Telephone 2187322800
Fax 2187322874
Associated Practice Facility / Clinic
🏢 Dakota Clinic, Ltd. Facility NPI 1124079488

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Park Rapids, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
15 Specialists

Practicing in Park Rapids, MN (4026 Statewide)

Telehealth Adoption Rate
6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 8935

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
022387500 (MN)
Medicaid State Provider ID
1750328563 (MN)
Commercial Insurance / Payer ID Preferred One #
DA9041015688 (MN)
Commercial Insurance / Payer ID Medica #
0121199 (MN)
Commercial Insurance / Payer ID Mnbs #
73A11NO (MN)
Commercial Insurance / Payer ID Ndbs #
18231 (MN)
Commercial Insurance / Payer ID Healthpartners #
HP25821 (MN)
Commercial Insurance / Payer ID Medica #
0111296 (MN)
Commercial Insurance / Payer ID Medica #
0111297 (MN)
Commercial Insurance / Payer ID Ucare #
121640 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jonathon Peterson , PT

Physical Therapist

NPI 1003008525

Physical Therapist

Kathryn Nevins , CNP

Nurse Practitioner - Family

NPI 1013343284

Certified Nurse Practitioner

Genevieve Keranen , CDE

Nutritionist - Nutrition, Education

NPI 1033156997

Certified Diabetes Educator

Megan Meyers

Physician Assistant

NPI 1043067150
NPI 1043309065

Doctor of Medicine (M.D.)

Troy Schmitz , OTR

Occupational Therapist

NPI 1043462831

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 23, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2012

Registered at 705 PLEASANT AVE S, PARK RAPIDS, MN 564701440 (Tel: 2187322800)

📍
Updated Business Mailing Address July 23, 2012

Registered at PO BOX 6001, FARGO, ND 581086001 (Tel: 2187322800)

👤
Provider Name / Credentials Updated July 23, 2012

Recorded as EDWIN NOVAK, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2012

Physician Assistant (License #8935 in MN)

🟢
Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750328563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2006
Last Update: August 02, 2026
Sole Proprietor: No

Mailing Address

Po Box 6001

Fargo, ND 581086001

Phone: 2187322800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.