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

Michelle Renee Wark, PAC

Individual provider Physician Assistant · NPI 1952330581

Michelle Renee Wark, PAC is a Physician Assistant in Crystal, Minnesota. Qualified in 1996, 30 years ago. Practices with North Clinic PA, a 49-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
30
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.

See every abbreviation used in this directory →

Practice location Address checks out

5109 36th Ave N
Crystal, MN 55422-2007
Phone: (763) 587-7900
Fax: (763) 587-7989
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9445 (MN)

Record details

NPI number1952330581
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESNovember 9, 2022
Certification dateNovember 9, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice North Clinic Pa — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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