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

Logan Renninger, PAC

Individual provider Medical Physician Assistant · NPI 1053159509

Logan Renninger, PAC is a Physician Assistant in Robbinsdale, Minnesota. Qualified in 2024, 2 years ago. Practices with North Memorial Health Care, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

3300 Oakdale Ave N
Robbinsdale, MN 55422-2926
Phone: (763) 581-3700
Fax: (763) 581-3701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 15039 (MN)

Record details

NPI number1053159509
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 18, 2024
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address3300 Oakdale Ave N, Robbinsdale, MN 55422-2926

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice North Memorial Health Care — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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