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

Individual provider Psychiatry Physician · NPI 1740658814

Matthew Albert Peckskamp, PA-C is a Physician Assistant in St Cloud, Minnesota. Qualified in 2015, 11 years ago. Practices with St Cloud Hospital, a 215-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2015
Specialties on file
2
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

1406 6th Avenue North St Cloud Hospital
St Cloud, MN 56303-1900
Phone: (320) 251-2700
Fax: (320) 656-7115
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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 2316 (MN)
Psychiatry Physician Taxonomy 2084P0800X · Licence 11903 (MN)

Record details

NPI number1740658814
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 8, 2015
Last updated in NPPESApril 12, 2022
Certification dateApril 12, 2022

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 St Cloud Hospital — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in St Cloud