Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abigail Frericks Bennett, PA-C

Individual provider Physician Assistant · NPI 1477938058

Abigail Frericks Bennett, PA-C is a Physician Assistant in Eagan, Minnesota. Qualified in 2015, 11 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1885 Plaza Dr
Eagan, MN 55122-2979
Phone: (952) 993-4001
Fax: (952) 993-4095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1805 Hennepin Ave N, Glencoe, MN 55336-1416 — (320) 864-3121
  • 14001 Ridgedale Dr, Minnetonka, MN 55305-1753 — (952) 249-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2288 (MN)

Record details

NPI number1477938058
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 24, 2015
Last updated in NPPESMay 31, 2023
Certification dateMay 31, 2023
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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