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

Mitchell Scott Sebranek, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1003418260

Mitchell Scott Sebranek, PHYSICIANASSISTANT is a Physician Assistant in Cottage Grove, Minnesota. Qualified in 2020, 6 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2020
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8611 W Point Douglas Rd S
Cottage Grove, MN 55016-4005
Phone: (651) 458-1884
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1026 7th St W, Saint Paul, MN 55102-3828 — (651) 241-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13535 (MN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1003418260
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 12, 2020
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
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 2020 (6 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cottage Grove