Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Ruegemer, PA-C

Individual provider Physician Assistant · NPI 1487028627

Charles Ruegemer, PA-C is a Physician Assistant in Andover, Minnesota. Qualified in 2015, 11 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Minnesota and North Carolina.

Years since qualifying
11
Licensed in
MN, NC
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

15245 Bluebird St NW
Andover, MN 55304-3538
Phone: (763) 587-4688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2621 Greenhaven Rd, Anoka, MN 55303-5566 — (763) 587-4688
  • 1500 109th Ave Ne, Blaine, MN 55449-4670 — (763) 354-1001
  • 530 3rd St Nw, Elk River, MN 55330-1445 — (763) 587-4688

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12377 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 0010-06080 (NC)

Record details

NPI number1487028627
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2015
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024
Mailing address5745 Yucca Ln N, Plymouth, MN 55446-3532

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Andover