Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MACIEJ SKORUPSKI PA
NPI 1164369914
Physician Assistant in Saint Paul, MN

Q: What is Maciej Skorupski's NPI number?

The NPI number for Maciej Skorupski is 1164369914. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Q: What is Maciej Skorupski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Maciej Skorupski was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 30, 2026

640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3456 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, Apr 30, 2026 (2 updates tracked since 2026).

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About Maciej Skorupski Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACIEJ SKORUPSKI PA (NPI 1164369914) is an individual physician assistant in Saint Paul, Minnesota, licensed in Minnesota (15786) and active in the NPI registry since April 2026. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164369914

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMACIEJ SKORUPSKICredential: PA

Location Address640 JACKSON STSaint Paul, MN 55101-2502

Mailing Address2004 Randolph AveSaint Paul, MN 55105-1750 · (507) 312-1545

Phone(651) 254-3456

Sole ProprietorYes

Enumeration DateApril 30, 2026

Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1164369914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 15786

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

640 JACKSON ST, Saint Paul, MN 55101

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Secondary Practice Locations 2

Location 12004 Randolph AveSaint Paul, MN 55105-1750 · Phone (507) 312-1545

Location 2927 Churchill St WStillwater, MN 55082-6605 · Phone (651) 439-5330

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WOJCIECH KRASZKIEWICZ M.D.

Internal Medicine