Ryan Ahlgren, NP
Individual provider Active NPI Physician Assistant · Saint Paul, MN
NPI 1922776129 · NPPES record last updated Jun 13, 2025
Key facts
- NPI
- 1922776129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 14644 (MN)
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2502 - Phone
- (651) 254-7980
- Fax
- (651) 254-7990
- NPI assigned
- Sep 1, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 30
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Marys Regional Health Center
Practice addresses (Care Compare)
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 847-5611
Hospital & facility affiliations
- Essentia Health Fosston
- Glacial Ridge Hospital
- Mahnomen Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231004003164 | MN | Practitioner - Physician Assistant | 8628423043 | Reassigns benefits to 11 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glacial Ridge Hospital District | Current |
Accepting new patients | |
| St Mary'S Regional Health Center | Current |
Accepting new patients | |
| Alomere Health | Current |
Accepting new patients | |
| First Care Medical Services | Current |
Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| West Central Pathology and Laboratory Medicine PA | Current | Accepting new patients | |
| St Mary'S Regional Health Center | Current |
Accepting new patients | |
| St. Marys Regional Health Center | Current | Accepting new patients | |
| Mille Lacs Health System | Emergency Medicine | Current |
Accepting new patients |
| First Care Medical Services | Current |
Accepting new patients | |
| Mahnomen Health Center | Current |
Accepting new patients | |
| Alomere Health | Current |
Accepting new patients | |
| Mille Lacs Health System | Current |
Accepting new patients | |
| Sanford Health of Northern Minnesota | Current |
Accepting new patients | |
| Douglas County Hospital | Past | Accepting new patients | |
| Douglas County Hospital | Physician Assistant | Past | Accepting new patients |
| Glacial Ridge Hospital District | Past | Accepting new patients |
Locations
201 9th St W
Ada, MN 56510
Phone (218) 784-2727
111 17th Ave E
Alexandria, MN 56308
Phone (320) 762-1511
610 30th Ave W
Alexandria, MN 56308
Phone (320) 763-2540
1656 Central St W
Bagley, MN 56621
Phone (218) 694-2384
1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020
1027 Washington Ave
Detroit Lakes, MN 56501
Phone (218) 844-2300
900 Hilligoss Blvd SE
Fosston, MN 56542
Phone (218) 435-1133
10 4th Ave SE
Glenwood, MN 56334
Phone (320) 634-5157
417 Franklin St S
Glenwood, MN 56334
Phone (320) 634-5157
414 W Jefferson Ave
Mahnomen, MN 56557
Phone (218) 935-2511
200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/glac-1755385c
- rahlgren838598@direct.centracare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 14644 | MN | Yes |
Addresses
Primary practice location
640 Jackson St
Saint Paul, MN 55101-2502
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
111 17th Ave E
Alexandria, MN 56308-5273
Phone (320) 762-1511
Other practice location 2
67789 205th St
Darwin, MN 55324-6531
Phone (320) 296-8700
Other providers in Saint Paul, MN
- Marijo Nicole Aguilera
- Suresh Ahanya
- Joseph Kwame Ahenkorah
- Bridget Ahern
- Jesiah Ahlemeier
- Cara Ahlgrim
- Logan Ahlness
- Marguerite Ahlstrom
- Aqeel Ahmad
- Olga T. Ahmann
All providers in Saint Paul, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.