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

Jonathan R Ray

Individual provider Family Medicine Physician · NPI 1619952389

Jonathan R Ray is a Family Practice in Plymouth, Minnesota. Graduated from Medical College of Wisconsin in 1996, 30 years ago. Practices with Hutchinson Health, a 143-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
30
Trained at
Medical College of Wisconsin
Licensed in
MN
In the registry since
2005
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3007 Harbor Ln N Park Nicollet Clinic Plymouth
Plymouth, MN 55447
Phone: (952) 993-8900
Fax: (952) 993-8955
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 4155 County Road 101 N, Plymouth, MN 55446-2307 — (952) 993-8900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 40421 (MN)

Record details

NPI number1619952389
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 14, 2005
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1996 (30 years in practice)
Group practice Hutchinson Health — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Plymouth