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

Michael R Timm, PAC

Individual provider Physician Assistant · NPI 1245202399

Michael R Timm, PAC is a Physician Assistant in St Paul, Minnesota. Qualified in 2003, 23 years ago. Practices with Fairview Specialty Services, a 304-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

640 Jackson St Mc 11503J
St Paul, MN 55101-2502
Phone: (651) 254-5701
Fax: (651) 254-1519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9878 (MN)

Record details

NPI number1245202399
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESMarch 13, 2015
Mailing address8100 34th Ave S, Mail Stop 21110q, Bloomington, MN 55425-1672

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Fairview Specialty Services — 304 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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