Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marissa Elizabeth Baumgartner, PA-C

Individual provider Physician Assistant · NPI 1023727146

Marissa Elizabeth Baumgartner, PA-C is a Physician Assistant in Staples, Minnesota. Qualified in 2022, 4 years ago. Practices with Lakewood Health System, a 107-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

49725 County 83
Staples, MN 56479-5280
Phone: (218) 894-1515
Fax: (218) 894-8403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14291 (MN)

Record details

NPI number1023727146
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 17, 2022
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lakewood Health System — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Lakewood Health System

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 107 clinicians in the practice; 12 are shown here.

Other providers in Staples