MARY RUGGERI PA-C
NPI 1811536600
Physician Assistant in Maple Grove, MN

Active since December 27, 2019
7748 MAIN ST N, MAPLE GROVE, MN 55369(763) 494-9939 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2023, Mar 22, 2021, Mar 13, 2021 and 1 more (4 updates tracked since 2019).

About Mary Ruggeri Pa-c NPPES

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

MARY RUGGERI PA-C (NPI 1811536600) is an individual physician assistant in Maple Grove, Minnesota, licensed in Texas (PA14121) and active in the NPI registry since December 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811536600
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY RUGGERICredential: PA-C
Location Address7748 MAIN ST NMaple Grove, MN 55369-1900
Mailing Address7748 Main St NMaple Grove, MN 55369-1900 · (763) 494-9939
Sole ProprietorNo
Enumeration DateDecember 27, 2019
Last NPPES UpdateAugust 21, 20234 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
NPI 1811536600 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 TX · PA14121
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.
7748 MAIN ST N, Maple Grove, MN 55369

Secondary Practice Locations 2

Location 1100 Church St S Ste A230New Haven, CT 06519-1703 · Phone (203) 737-2284
Location 24407 Bee Caves Rd, Bldg 5, Ste 512West Lake Hills, TX 78746-6496 · Phone (512) 902-6920 · Fax (512) 287-5547

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 Mary Ruggeri's NPI number?

The NPI number for Mary Ruggeri is 1811536600. It was assigned to this individual provider in the NPPES registry on December 27, 2019.

Where is Mary Ruggeri located?

Mary Ruggeri practices at 7748 Main St N, Maple Grove, MN 55369. The listed phone number is (763) 494-9939.

What is Mary Ruggeri'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 Mary Ruggeri was last updated on August 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.