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

Individual provider Physician Assistant · NPI 1508205386

Clare Elizabeth Cicconi, PA-C is a Physician Assistant in Saint Paul, Minnesota. Graduated from University of New England, College of Osteo Medicine in 2013, 13 years ago. Practices with Ridgeview Medical Center, a 406-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
13
Trained at
University of New England, College of Osteo Medicine
Licensed in
MN
In the registry since
2013
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

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-3456
Fax: (651) 254-9673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 144 State St, Portland, ME 04101-3776 — (207) 879-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12881 (MN)

Record details

NPI number1508205386
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 14, 2013
Last updated in NPPESJanuary 16, 2020
Certification dateJanuary 16, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2013 (13 years in practice)
Group practice Ridgeview Medical Center — 406 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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