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

Jacqueline Ryan

Individual provider Physician Assistant · NPI 1467068064

Jacqueline Ryan is a Physician Assistant in Willmar, Minnesota. Qualified in 2021, 5 years ago. Practices with Carris Health LLC, a 39-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020

Practice location Address checks out

301 Becker Ave SW
Willmar, MN 56201-3302
Phone: (320) 231-4570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1467068064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2020
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022
Mailing address301 Becker Ave Sw, Willmar, MN 56201-3302

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Carris Health Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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