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

Individual provider Physician Assistant · NPI 1780838102

MS. Rebekah Ann Roverud, PA is a Physician Assistant in Minnetonka, Minnesota. Qualified in 2008, 18 years ago. Practices with Premier OBGYN of Minnesota PLLC, a 89-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

14001 Ridgedale Dr #200
Minnetonka, MN 55305-1753
Phone: (952) 249-2000
Fax: (952) 249-2099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10502 (MN)

Record details

NPI number1780838102
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 12, 2008
Last updated in NPPESJanuary 22, 2009

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Premier Obgyn Of Minnesota Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Minnetonka