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

Matthew Dewitt Davis, PA

Individual provider Physician Assistant · NPI 1477238533

Matthew Dewitt Davis, PA is a Physician Assistant in Fargo, North Dakota. Graduated from University of North Dakota School of Medicine in 2023, 3 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
3
Trained at
University of North Dakota School of Medicine
Licensed in
ND
In the registry since
2023
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

801 Broadway N
Fargo, ND 58102-3641
Phone: (701) 234-2000
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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 PAC1010 (ND)

Record details

NPI number1477238533
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 16, 2023
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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