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

Matthew Ray Bennett, PA-C

Individual provider Surgical Physician Assistant · NPI 1376955971

Matthew Ray Bennett, PA-C is a Physician Assistant in Waconia, Minnesota. Qualified in 2014, 12 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

560 S Maple St Ste 200
Waconia, MN 55387-1733
Phone: (952) 442-2163
Fax: (952) 442-5903
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2193 (MN)

Record details

NPI number1376955971
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 30, 2014
Last updated in NPPESJanuary 9, 2015
Mailing address4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422-4840

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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