Active NPI
Ryan Ahlgren, NP
- Physician Assistant
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 14644
- Practice address
- 640 Jackson St
Saint Paul, MN 55101-2502 - Phone
- (651) 254-7980
- Fax
- (651) 254-7990
- NPI assigned
- Sep 1, 2021
- Last updated
- Jun 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 14644 | MN | Primary |
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
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1027 Washington Ave
Detroit Lakes, MN 56501-3409
Phone (218) 847-5611
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| First Care Medical Services | Current | Accepting new patients | |
| First Care Medical Services | Current | Accepting new patients | |
| Alomere Health | Current | Accepting new patients | |
| Glacial Ridge Hospital District | Current | Accepting new patients | |
| Mille Lacs Health System | Emergency Medicine | Current | Accepting new patients |
| Alomere Health | Current | Accepting new patients | |
| St. Marys Regional Health Center | Current | Accepting new patients | |
| St Mary's Regional Health Center | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| West Central Pathology and Laboratory Medicine PA | Current | Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| St Mary's Regional Health Center | Current | Accepting new patients | |
| Mahnomen Health Center | Current | Accepting new patients | |
| Sanford Health of Northern Minnesota | Current | Accepting new patients | |
| Douglas County Hospital | 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
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Essentia Health St. Mary's- Detroit Lakes
- Rural Acute Care Hospital
- Detroit Lakes, MN
- NPI 1679561088
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
-
dba Essentia Health Fosston Clinic
- Critical Access Hospital Clinic/Center
- Fosston, MN
- NPI 1073638565
-
- Rural Acute Care Hospital
- Mahnomen, MN
- NPI 1942233234
-
dba Critical Access Hospital
- Critical Access Hospital
- Onamia, MN
- NPI 1548212699
Emergency Medicine
-
dba Essentia Health Fosston
- Critical Access Hospital
- Fosston, MN
- NPI 1497850119
-
dba Brooten Medical Center
- Family Medicine Physician
- Brooten, MN
- NPI 1255348223
-
dba Essentia Health - Holy Trinity Hospital
- Critical Access Hospital
- Graceville, MN
- NPI 1982673620
-
dba Sanford Health Kelliher Clinic
- Family Medicine Physician
- Kelliher, MN
- NPI 1770849697
-
dba Heartland Orthopedic Specialists - Willmar
- Durable Medical Equipment & Medical Supplies
- Willmar, MN
- NPI 1467318246
-
dba Essentia Health Oklee Clinic
- Rural Health Clinic/Center
- Oklee, MN
- NPI 1174812465
-
dba Starbuck Medical Center
- Rural Health Clinic/Center
- Starbuck, MN
- NPI 1063952026
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Essentia Health Fosston
- Critical Access Hospital
- Fosston, MN
- NPI 1497850119
-
- Critical Access Hospital
- Glenwood, MN
- NPI 1538178520
-
- Rural Acute Care Hospital
- Mahnomen, MN
- NPI 1942233234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749772800000",
"number": "1922776129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON ST",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "651-254-7980",
"fax_number": "651-254-7990"
}
],
"practiceLocations": [
{
"address_1": "111 17th Ave E",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "MN",
"postal_code": "563085273",
"country_code": "US",
"telephone_number": "320-762-1511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "67789 205th St",
"address_purpose": "LOCATION",
"city": "Darwin",
"state": "MN",
"postal_code": "553246531",
"country_code": "US",
"telephone_number": "320-296-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHLGREN",
"first_name": "RYAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-01",
"last_updated": "2025-06-13",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "14644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.