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

Cody Ray Plaisance, PA

Individual provider Physician Assistant · NPI 1609417351

Cody Ray Plaisance, PA is a Physician Assistant in Waconia, Minnesota. Qualified in 2019, 7 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Licensed in
MN
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

560 S Maple St Ste 200
Waconia, MN 55387-1757
Phone: (952) 442-2163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13177 (MN)

Record details

NPI number1609417351
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Waconia