Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adam Robert Hetz, PAC

Individual provider Physician Assistant · NPI 1205107422

Adam Robert Hetz, PAC is a Physician Assistant in Blaine, Minnesota. Qualified in 2011, 15 years ago. Practices with Pinnacle Dermatology SC, a 145-clinician group and accepts Medicare assignment.

Years since qualifying
15
In the registry since
2012
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10705 Town Square Dr NE Ste 210
Blaine, MN 55449-8187
Phone: (763) 231-8700
Fax: (763) 427-8131
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1205107422
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJanuary 19, 2012
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021
Mailing address820 Springer Dr, Lombard, IL 60148-6413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Pinnacle Dermatology Sc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Blaine