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

Matthew Michael Donovan

Individual provider Physician Assistant · NPI 1063100907

Matthew Michael Donovan is a Physician Assistant in Buffalo, Minnesota. Qualified in 2024, 2 years ago. Practices with Stellis Health, PA, a 54-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

303 Catlin St Ste 010
Buffalo, MN 55313-1947
Phone: (763) 682-5225
Fax: (763) 684-6111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2 Pine Tree Dr, Arden Hills, MN 55112-3754 — (651) 635-8000
  • 1001 Hart Blvd Ste 100, Monticello, MN 55362-8929 — (763) 682-1313

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 15047 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063100907
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2023
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address2925 Chicago Ave, Minneapolis, MN 55407-1321

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Stellis Health, Pa — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Buffalo