CHARLES RUEGEMER (PA-C) – Physician Assistant, NPI 1487028627
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,031 PHYSICIAN ASSISTANT in MN
Provider Addresses for CHARLES RUEGEMER (PA-C)
5745 YUCCA LN N
PLYMOUTH, MN 554463532
Phone: (612) 702-7758
Type: Mailing
1500 109TH AVE NE
BLAINE, MN 554494670
Phone: (763) 354-1001
Type: Location
2621 Greenhaven Rd
Anoka, MN 553035566
Phone: (763) 587-4688
Type: Location
530 3rd St NW
Elk River, MN 553301445
Phone: (763) 587-4688
Type: Location
1500 109th Ave NE
Blaine, MN 554494670
Phone: (763) 354-1001
Type: Location
15245 BLUEBIRD ST NW
ANDOVER, MN 553043538
Phone: (763) 587-4688
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $27.
Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($27).
Total Amount
$27
General + Research + Ownership
Payments
1
Total payment records
General Amount
$27
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Travere Therapeutics, Inc. | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170518000135 | I | Physician Assistant | MN | TBD |
| I20180809004890 | I | Physician Assistant | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55446)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | NC | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| Physician Assistant | MN | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN |
Reviews
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