Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285612200 Individual Practitioner Female Practitioner

Mary J Lamusga , PA

Physician Assistant • Staples, MN

Professional Overview & Biography Verified Profile Summary

Mary Lamusga, PA is a registered healthcare professional specializing in Physician Assistant in Staples, MN. Practice services are available at 49725 COUNTY 83 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

49725 County 83

Staples, MN 564795280

Telephone 2188941515
Associated Practice Facility / Clinic
🏢 Lakewood Health System Facility NPI 1841280823

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Staples, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
15 Specialists

Practicing in Staples, MN (4026 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 9450

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
507460600 (MN)
Commercial Insurance / Payer ID Bcbs
42B94LA (MN)
Commercial Insurance / Payer ID Rr Medicare
970011717
Commercial Insurance / Payer ID Medica
0110106 (MN)
Commercial Insurance / Payer ID Preferred One
NA2951023879 (MN)
Commercial Insurance / Payer ID Bcbs
95124 (IA)
Commercial Insurance / Payer ID Americas Ppo
1694595 (MN)
Commercial Insurance / Payer ID Champus
410849339 56001 C143
Commercial Insurance / Payer ID Health Partners
HP41031 (MN)
Commercial Insurance / Payer ID Ucare
123764 (MN)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kelly Vanvickle

Nurse Practitioner - Women's Health

NPI 1013332105
Marissa Baumgartner , PA-C

Physician Assistant

NPI 1023727146

Physician Assistant (Certified)

Dr. Jordan Moe , MD

Family Medicine

NPI 1033386966

Doctor of Medicine (M.D.)

NPI 1043200678

Doctor of Medicine (M.D.)

Luann Gammon , LICSW

Social Worker - Clinical

NPI 1053630053

Licensed Independent Clinical Social Worker

Dr. Paige Carlson , MD

Internal Medicine

NPI 1063150415

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 12, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2009

Registered at 49725 COUNTY 83, STAPLES, MN 564795280 (Tel: 2188941515)

📍
Updated Business Mailing Address August 12, 2009

Registered at 49725 COUNTY 83, STAPLES, MN 564795280 (Tel: 2188941515)

👤
Provider Name / Credentials Updated August 12, 2009

Recorded as MARY LAMUSGA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2009

Physician Assistant (License #9450 in MN)

🟢
Initial NPI Registration & Enumeration January 09, 2006

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: 1285612200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2006
Last Update: August 12, 2009
Sole Proprietor: No

Mailing Address

49725 County 83

Staples, MN 564795280

Phone: 2188941515

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.