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Ronneil Aviles, PA-C

NPI 1194275552ActiveIndividual· Physician Assistant· St Louis Park, MN

Physician Assistant (PA-C) with Park Nicollet Clinic and 1 other group, practicing in St Louis Park, Minnesota. 79 Medicare patients in 2024, $3,981 paid; nearly all of their 203 Part D prescriptions were generic (92%).

Overview

NPI1194275552
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedOct 10, 2016
Last updated in NPPESDec 15, 2025
Certified by providerDec 15, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X12209MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (MN)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients79
Services billed91 across 6 procedure codes
Paid by Medicare$3,981

Part D prescriptions in 2024

Prescriptions (claims)203 · 206 30-day fills
Patients173
Total drug cost$1,842
Generic share92% of claims

Medicare sources and data years

Education and affiliations

Graduation year2016
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical groups

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in St Louis Park

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