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

Individual provider Physician Assistant · NPI 1598240376

Connor William Sacks, PA-C is a Physician Assistant in St Louis Park, Minnesota. Qualified in 2018, 8 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
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

5400 Excelsior Blvd
St Louis Park, MN 55416-2913
Phone: (952) 993-1000
Fax: (952) 993-1160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 610 30th Ave W, Alexandria, MN 56308-3426 — (320) 763-2899

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12803 (MN)

Record details

NPI number1598240376
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2018
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

Other providers in St Louis Park