Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Adam Sudbeck, PA-C

Individual provider Surgical Physician Assistant · NPI 1265859011

Adam Sudbeck, PA-C is a Physician Assistant in Saint Paul, Minnesota. Qualified in 2013, 13 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Minnesota.

Years since qualifying
13
Licensed in
MA, MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

295 Phalen Blvd
Saint Paul, MN 55130-2400
Phone: (651) 495-6200
Fax: (651) 495-6201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 — (952) 993-3230

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12491 (MN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA4951 (MA)

Record details

NPI number1265859011
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 18, 2014
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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