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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIERAN RETTLER
NPI 1083551147
Physician Assistant in Maplewood, MN

Active since April 29, 2026
1575 BEAM AVE, MAPLEWOOD, MN 55109(651) 232-7348 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 24, 2026, Apr 29, 2026 (2 updates tracked since 2026).

About Kieran Rettler NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIERAN RETTLER (NPI 1083551147) is an individual physician assistant in Maplewood, Minnesota, licensed in Minnesota (15856) and active in the NPI registry since April 2026. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083551147
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKIERAN RETTLER
Location Address1575 BEAM AVEMaplewood, MN 55109-1126
Mailing Address2829 University Ave Se Ste 730Minneapolis, MN 55414-3279
Phone(651) 232-7348
Sole ProprietorNo
Enumeration DateApril 29, 2026
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1083551147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 15856
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1575 BEAM AVE, Maplewood, MN 55109
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Secondary Practice Locations 2

Location 11925 Woodwinds DrWoodbury, MN 55125-4445 · Phone (651) 232-0348
Location 2235 E State StSaint Croix Falls, WI 54024-4117 · Phone (715) 483-0555

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN TOLLY M.D.
Anesthesiology
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (920) 915-9034
YONG YANG
Interpreter
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-6177
GRETCHEN L HANSON CNNP
Nurse Practitioner (Neonatal)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7000
DR. NATHAN DEAN SWENSON M.D.
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7348
KRISTIN MARIE ROUSE MD
Emergency Medicine
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7348
NICHOLAS BASIL LOUDAS
Radiology (Radiation Oncology)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7970
HTOO BWAY INTERPRETER
Interpreter
1575 BEAM AVE
SAINT PAUL, MN 55109
Ramsey County (651) 232-2917
HEALTHEAST ST. JOHN'S HOSPITAL
Pharmacy (Institutional Pharmacy)
1575 BEAM AVE
MAPLEWOOD, MN 55109
Ramsey County (651) 232-7970

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kieran Rettler's NPI number?

The NPI number for Kieran Rettler is 1083551147. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Kieran Rettler located?

Kieran Rettler practices at 1575 Beam Ave, Maplewood, MN 55109. The listed phone number is (651) 232-7348.

What is Kieran Rettler's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kieran Rettler was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.