NPIMap

Individual provider Active NPI

Ruby Bowers

  • Physician Assistant
  • Coon Rapids, MN
National Provider Identifier
1184180614
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
12857 Issued in MN
Practice address
11850 Blackfoot St NW Ste 490
Coon Rapids, MN 55433-2773
Phone
(763) 427-1137
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 12857 MN
Physician Assistant 363A00000X 12857 MN Primary

Addresses

Primary practice location

11850 Blackfoot St NW Ste 490
Coon Rapids, MN 55433-2773

Mailing address

PO Box 43
Minneapolis, MN 55440-0043
Phone (612) 622-1166

Other practice location 1

913 E 26th St Ste 305
Minneapolis, MN 55404-4515
Phone (612) 871-7278

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbowers415621@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190329001285 MN Practitioner - Physician Assistant 2769722743 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

11850 Blackfoot St NW
Coon Rapids, MN 55433-2773

18465 Orchard TRL
Lakeville, MN 55044-8885
Phone (952) 428-0950

2855 Campus Dr
Suite 300
Plymouth, MN 55441-2682
Phone (800) 827-8313

2925 Chicago Ave
Minneapolis, MN 55407-1321

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-6000

440 Elm St E
Annandale, MN 55302-1109
Phone (320) 682-5225

800 E 28TH St
Minneapolis, MN 55407-3723

913 E 26TH St
Minneapolis, MN 55404-4515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.1 of 100Reported as group
Quality
39.3
Improvement activities
40
Cost
68.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
12857MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Nov 25, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Nov 25, 2024 Accepting new patients
Allina Health System CurrentSince Jul 21, 2025 Accepting new patients
Allina Health System Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

11850 Blackfoot St NW
Ste 490
Minneapolis, MN 55433
Phone (612) 871-7278

913 E 26th St
Ste 305
Minneapolis, MN 55404
Phone (612) 871-7278

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2855 Campus Dr
Ste 610
Plymouth, MN 55441
Phone (612) 333-4822

310 Smith Ave N
Ste 440
Saint Paul, MN 55102
Phone (651) 241-6550

Interoperability endpoints

  • Direct secure messaging: ruby.bowers.1@11793.direct.athenahealth.com
  • Direct secure messaging: rbowers415621@excellian.direct.allina.com

Organizations & group practices 7

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.

Hospital & facility affiliations 43

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1184180614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400043",
            "telephone_number": "612-622-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11850 BLACKFOOT ST NW STE 490",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332773",
            "telephone_number": "763-427-1137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "913 E 26th St Ste 305",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554044515",
            "country_code": "US",
            "telephone_number": "612-871-7278",
            "fax_number": "612-863-8531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "RUBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MN",
            "license": "12857",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbowers415621@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "11850 Blackfoot St NW Ste 490",
            "city": "Coon Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554332773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

Verify at the official NPI Registry.