Active NPI
Connor J Thiets, PA-C
- Physician Assistant
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 13728
- Practice address
- 6050 Sycamore LN N
Plymouth, MN 55442-1402 - Phone
- (651) 968-5201
- Fax
- (651) 968-5903
- NPI assigned
- Jul 28, 2020
- 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 | 13728 | MN | Primary |
Addresses
Primary practice location
6050 Sycamore LN N
Plymouth, MN 55442-1402
Mailing address
710 Commerce Dr Ste 200
Woodbury, MN 55125-4925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1661 Saint Anthony Ave
Saint Paul, MN 55104-3733
Phone (651) 968-5201
2620 Eagan Woods Dr
Eagan, MN 55121-1138
Phone (651) 968-5201
3580 Arcade St
Vadnais Heights, MN 55127-7135
Phone (651) 968-5201
6050 Sycamore LN N
Plymouth, MN 55442-1402
Phone (651) 968-5201
Hospital & facility affiliations
- M Health Fairview Southdale Hospital
- Abbott Northwestern Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13728 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Summit Orthopedics LTD | Current | Accepting new patients | |
| Summit Orthopedics, LTD. | Current | Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Locations
6050 Sycamore Ln N
Plymouth, MN 55442
Phone (651) 968-5462
15700 37th Ave N
Ste 150
Plymouth, MN 55446
Phone (651) 968-1627
1661 Saint Anthony Ave
Saint Paul, MN 55104
Phone (651) 968-5300
710 Commerce Dr
Ste 200
Woodbury, MN 55125
Phone (651) 968-5042
Interoperability endpoints
- connorthiets@sol.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Woodbury, MN
- NPI 1306899463
-
- Orthopaedic Surgery Physician
- Eden Prairie, MN
- NPI 1417639626
-
- Clinic/Center
- Woodbury, MN
- NPI 1558870196
-
- Occupational Medicine Clinic/Center
- Saint Paul, MN
- NPI 1275684128
-
- Orthopaedic Surgery of the Spine Physician
- Bloomington, MN
- NPI 1023001815
Hospital & facility affiliations 26
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Family Medicine) Physician
- Minneapolis, MN
- NPI 1154684835
Hospital
-
- Physical Medicine & Rehabilitation Physician
- Minneapolis, MN
- NPI 1275577215
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1376152173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 COMMERCE DR STE 200",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 SYCAMORE LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554421402",
"telephone_number": "651-968-5201",
"fax_number": "651-968-5903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIETS",
"first_name": "CONNOR",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-28",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MN",
"license": "13728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.