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

Matthew Marilley, PA-C

Individual provider Medical Physician Assistant · NPI 1417538174

Matthew Marilley, PA-C is a Physician Assistant in Rochester, Minnesota. Qualified in 2020, 6 years ago. Practices with Mayo Clinic, a 4,796-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan and Minnesota.

Years since qualifying
6
Licensed in
MI, MN
In the registry since
2021
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

200 1st St SW
Rochester, MN 55905-0001
Phone: (507) 284-2511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13403 W 7 Mile Rd, Detroit, MI 48235-1387 — (313) 308-2444

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14162 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 56010440 (MI)

Record details

NPI number1417538174
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 15, 2021
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mayo Clinic — 4796 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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