Kieran Rettler
NPI 1083551147ActiveIndividual· Physician Assistant· Maplewood, MN
Physician Assistant in Maplewood, Minnesota, licensed in MN and WI, with an NPI issued in April 2026. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1083551147 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 29, 2026 |
| Last updated in NPPES | Sep 9, 2026 |
| Certified by provider | Sep 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 15856 | MN |
| Physician Assistant | 363A00000X | 9103-23 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|
Education and affiliations
| Graduation year | 2026 |
|---|---|
| Medicare specialty | Physician Assistant |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 60 physician assistants in Maplewood · All physician assistants in Minnesota