Ronneil Aviles, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

12209 Issued in MN

Practice address

3850 Park Nicollet Blvd
St Louis Park, MN 55416-2527

Phone

(952) 993-3400

NPI assigned

Oct 10, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Group Health Inc 1,627 clinicians

Park Nicollet Clinic 1,778 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lakeview Homecare Home health agency, Oak Park Heights, MN, CCN 248008

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Park Nicollet Clinic

  • Family Medicine Physician
  • St Louis Park, MN
  • NPI 1780621904

  MN

  Medicare reassignment Care Compare group NPD
• Group Health, Inc.

  • Multi-Specialty Clinic/Center
  • Minneapolis, MN
  • NPI 1710924683

  MN

  Medicare reassignment Care Compare group NPD (past)
• Group Health Inc

  • Community/Retail Pharmacy
  • St Louis Park, MN
  • NPI 1104360973
  Care Compare group
• Group Health, Inc.

  • Durable Medical Equipment & Medical Supplies
  • St Louis Park, MN
  • NPI 1194886002
  Care Compare group
• Group Health, Inc.

  • Clinical Medical Laboratory
  • Eden Prairie, MN
  • NPI 1215048913
  Care Compare group
• Group Health, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Woodbury, MN
  • NPI 1386705291
  Care Compare group
• Group Health, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bloomington, MN
  • NPI 1619037660
  Care Compare group
• Group Health, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Saint Paul, MN
  • NPI 1689804064
  Care Compare group
• Group Health, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Apple Valley, MN
  • NPI 1801957717
  Care Compare group
• Group Health, Inc.

  • Community Based Hospice Care Agency
  • Bloomington, MN
  • NPI 1871534628
  Care Compare group
• Group Health, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Arden Hills, MN
  • NPI 1982764130
  Care Compare group
• Group Health, Inc.

  • Family Medicine Physician
  • Stillwater, MN
  • NPI 1578932943
  NPD

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

• Lakeview Memorial Hospital Association, Inc.

  • Home Health Agency
  • Oak Park Heights, MN
  • NPI 1174522239
  Care Compare affiliation

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

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1194275552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 PARK NICOLLET BLVD",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162527",
            "telephone_number": "952-993-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "RONNEIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-10",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven B Atwater, MD
• Brenna Augustin, O.T.
• Aurora Restorative Care PLLC
• Krystal Averitt
• Margot Arenla Avey, COTA/L
• Aaron Victor Avis
• Aviv Health Care, Inc.
• Awaken Recovery Counseling Center LLC
• Corri Ann Awdng
• John T Axelson, M.D.

• All providers in St Louis Park, MN
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.