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

Ryan Lill

Individual provider Medical Physician Assistant · NPI 1518339613

Ryan Lill is a Physician Assistant in Golden Valley, Minnesota. Qualified in 2015, 11 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2015
Specialties on file
2

Practice location Address checks out

8401 Golden Valley Rd
Golden Valley, MN 55427-4486
Phone: (952) 993-8300
Fax: (952) 993-8331
Show map & directions

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

Additional practice locations (1)

  • 2251 Connecticut Ave S, Sartell, MN 56377-2486 — (320) 253-5220

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12000 (MN)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1518339613
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2015
Last updated in NPPESDecember 12, 2018

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 Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Golden Valley