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JONATHAN R RAY
NPI 1619952389
Family Medicine in Plymouth, MN

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment
3007 HARBOR LN N, PARK NICOLLET CLINIC PLYMOUTH, PLYMOUTH, MN 55447(952) 993-8900(952) 993-8955 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jonathan R Ray NPPES

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

JONATHAN R RAY (NPI 1619952389) is an individual family medicine provider in Plymouth, Minnesota, licensed in Minnesota (40421) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and maintains a secondary practice location in Plymouth.

NPPES Registry Identity

NPI1619952389
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN R RAY
Location Address3007 HARBOR LN N, PARK NICOLLET CLINIC PLYMOUTHPlymouth, MN 55447
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 993-8900
Fax(952) 993-8955
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1996
Enumeration DateDecember 14, 2005
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1619952389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 40421
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3007 HARBOR LN N, Plymouth, MN 55447
Open in Google Maps ↗

Secondary Practice Location 1

Location 14155 County Road 101 NPlymouth, MN 55446-2307 · Phone (952) 993-8900

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan R Ray is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719013630
PECOS Enrollment IDI20100330001324
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jonathan Ray reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Park Nicollet Clinic
7.9 mi
Family Medicine
3800 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1063897593 (952) 993-3123
Hutchinson Health
45 mi
General Acute Care Hospital
1095 HIGHWAY 15 S
Hutchinson, MN 55350
  • Reassigned Medicare billing, Minnesota enrollment
  • 253 clinicians in this Medicare group
NPI 1053508820 (320) 234-5000
Healthpartners Rc
76 mi
Critical Access Hospital
100 HEALTHY WAY
Olivia, MN 56277
  • Reassigned Medicare billing, Minnesota enrollment
  • Also billed through NPI 1629091871 (Minnesota)
  • 125 clinicians in this Medicare group
NPI 1649470782 (320) 523-1261

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
289 services114 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
101 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services69 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
59 services59 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Hutchinson Health

Acute Care Hospitals · Hutchinson, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240187
Location1095 Highway 15 SouthHutchinson, MN 55350 · Mc Leod County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55447 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers18 claims55 services$4.70 avg. paid by Medicare
Parenteral nutrition solution, not otherwise specified, 10 grams lipids B4185
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims915 services$11.27 avg. paid by Medicare
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix B4193
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims343 services$230.36 avg. paid by Medicare
Parenteral nutrition supply kit; premix, per day B4220
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims343 services$8.03 avg. paid by Medicare
Parenteral nutrition administration kit, per day B4224
Other-Enteral and Parenteral · category OB005N
1 supplier52 claims343 services$25.07 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$19.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NATHAN ROBERT RICHARDS
Behavior Technician
3007 HARBOR LN N
PLYMOUTH, MN 55447
Hennepin County (612) 509-6670
SARA KREBSBACH
Behavior Technician
3007 HARBOR LN N
PLYMOUTH, MN 55447
Hennepin County (612) 445-8314
DR. KEENA YUE LEUNG MD
Pediatrics
3007 HARBOR LN N
PLYMOUTH, MN 55447
Hennepin County (952) 993-8900
UGBAD ABDI OMER
Behavior Technician
3007 HARBOR LN N
MINNEAPOLIS, MN 55447
Hennepin County (612) 445-8314
DR. AMY C BURT DO
Pediatrics
3007 HARBOR LN N
PLYMOUTH, MN 55447
Hennepin County (952) 993-8900
STEPHANIE NORRIS M.D.
Internal Medicine
3007 HARBOR LN N
PLYMOUTH, MN 55447
Hennepin County (952) 993-8900
KYLIE AANERUD
Behavior Analyst
3007 HARBOR LN N
PLYMOUTH, MN 55447
Hennepin County (507) 322-7752
ERIKA MICHAELS
Behavior Technician
3007 HARBOR LN N
PLYMOUTH, MN 55447
Hennepin County (612) 445-8314

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 Jonathan Ray's NPI number?

The NPI number for Jonathan Ray is 1619952389. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Jonathan Ray located?

Jonathan Ray practices at 3007 Harbor Ln N Park Nicollet Clinic Plymouth, Plymouth, MN 55447. The listed phone number is (952) 993-8900.

What is Jonathan Ray's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonathan Ray enrolled in Medicare?

Yes. Jonathan Ray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jonathan Ray's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Ray reassigns Medicare benefits to 3 organizations: Park Nicollet Clinic (St Louis Park, MN), Hutchinson Health (Hutchinson, MN) and Healthpartners Rc (Olivia, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jonathan Ray affiliated with any hospitals?

According to CMS data, Jonathan Ray is affiliated with North Memorial Health Hospital, Park Nicollet Methodist Hospital and Hutchinson Health.

When was this NPI record last updated?

The NPPES record for Jonathan Ray was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.