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

Ryan McCauley Rivard

Individual provider Physician Assistant · NPI 1073235362

Ryan McCauley Rivard is a Physician Assistant in Plymouth, Minnesota. Qualified in 2024, 2 years ago. Practices with Minuteclinic Primary Care Minnesota PLLC, a 28-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2022
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Practice location Address checks out

4140 County Road 101 N
Plymouth, MN 55446-2308
Phone: (763) 478-4612
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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 15293 (MN)

Record details

NPI number1073235362
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 14, 2022
Last updated in NPPESMay 14, 2025
Certification dateMay 13, 2025
Mailing address5704 Creek Valley Rd, Edina, MN 55439-1210

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 Minuteclinic Primary Care Minnesota Pllc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Plymouth