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

Individual provider Physician Assistant · NPI 1740632355

Blake Thomas Sisson, PA-C, ATC is a Physician Assistant in Rochester, Minnesota. Qualified in 2022, 4 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and North Carolina.

Years since qualifying
4
Licensed in
MN, NC
In the registry since
2016
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

200 1st St SW
Rochester, MN 55905-2723
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4225 Macon Pond Rd, Raleigh, NC 27607-6320 — (919) 791-2040

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14420 (MN)
Physician Assistant Taxonomy 363A00000X (MN)
Physician Assistant Taxonomy 363A00000X · Licence 0010-15560 (NC)
Athletic Trainer Taxonomy 2255A2300X · Licence 2727 (MN)

Record details

NPI number1740632355
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedJuly 7, 2016
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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