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

Ryan Willems, PA

Individual provider Surgical Physician Assistant · NPI 1609038736

Ryan Willems, PA is a Physician Assistant in Worthington, Minnesota. Qualified in 2007, 19 years ago. Practices with Avera McKennan, a 962-clinician group and accepts Medicare assignment.

Years since qualifying
19
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.

See every abbreviation used in this directory →

Practice location Address checks out

1216 Ryans Rd Ste 1
Worthington, MN 56187-1722
Phone: (507) 372-2921
Fax: (507) 372-5789
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1609038736
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2008
Last updated in NPPESMay 26, 2015
Mailing address1216 Ryans Rd, Suite 1, Worthington, MN 56187-1722

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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