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Active NPI 1073477089 Individual Practitioner Male Practitioner

Joseph William Lackner , PA-C

Physician Assistant • Grand Rapids, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Joseph Lackner, PA-C is a certified Physician Assistant practicing in Grand Rapids, MN. With approximately 1 years of clinical experience since completing medical education in 2025, Joseph Lackner delivers high-quality medical care to the local community at 1601 GOLF COURSE RD.

Joseph Lackner is affiliated with Grand Itasca Clinic And Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1601 Golf Course Rd

Grand Rapids, MN 557448648

Telephone 2183263401
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grand Rapids, MN

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -4.3 yrs vs City Avg
City Avg: 5.3 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
9 Specialists

Practicing in Grand Rapids, MN (4026 Statewide)

Telehealth Adoption Rate
22.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lackner (1 Years) 1 Yrs
Grand Rapids Specialty Average (5.3 Years) 5.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-12-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 15633

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Grand Itasca Clinic And Hospital

1601 Goldf Course Rd, Grand Rapids, MN 557448648

Phone: 2183263401

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Day , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1013569722

NURSEPRACTITIONER

Emilee Olson

Student in an Organized Health Care Education/Training Program

NPI 1023795317
Bobbi Olson , CNP

Nurse Practitioner - Family

NPI 1033993555

Certified Nurse Practitioner

Caitlin Meyers , PA-C

Physician Assistant

NPI 1073094850

Physician Assistant (Certified)

NPI 1073133534

Doctor of Medicine (M.D.)

Kathryn Johnson

Obstetrics & Gynecology

NPI 1134562309

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 13, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2025

Registered at 1601 GOLF COURSE RD, GRAND RAPIDS, MN 557448648 (Tel: 2183263401)

📍
Updated Business Mailing Address December 13, 2025

Registered at 209 3RD ST S, VIRGINIA, MN 557922619

👤
Provider Name / Credentials Updated December 13, 2025

Recorded as JOSEPH LACKNER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2025

Physician Assistant (License #15633 in MN)

🟢
Initial NPI Registration & Enumeration December 13, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073477089
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2025
Last Update: December 13, 2025
Sole Proprietor: No

Mailing Address

209 3rd St S

Virginia, MN 557922619

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.