Active NPI
Sean Perry Faacks, PA-C
- Physician Assistant
- Eau Claire, WI
National Provider Identifier
1285597500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8746-23
- Practice address
- 3004 Golf Rd Ste 100
Eau Claire, WI 54701-8794 - Phone
- (715) 514-2827
- Fax
- (888) 606-1323
- NPI assigned
- Dec 4, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8746-23 | WI | Primary |
Addresses
Primary practice location
3004 Golf Rd Ste 100
Eau Claire, WI 54701-8794
Mailing address
3004 Golf Rd Ste 100
Eau Claire, WI 54701-8794
Phone (715) 514-2827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 4, 2025 through Dec 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8746-23 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1285597500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3004 GOLF RD STE 100",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547018794",
"telephone_number": "715-514-2827",
"fax_number": "888-606-1323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 GOLF RD STE 100",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547018794",
"telephone_number": "715-514-2827",
"fax_number": "888-606-1323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAACKS",
"first_name": "SEAN",
"middle_name": "PERRY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-04",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "8746-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.