DR. ANDREA R LAYS MD
NPI 1043479660
Obstetrics & Gynecology in Duluth, MN
About Dr. Andrea R Lays Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREA R LAYS MD (NPI 1043479660) is an individual obstetrics & gynecology provider in Duluth, Minnesota, licensed in Minnesota (68103) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and maintains a secondary practice location in Grand Forks.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Andrea R Lays Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Andrea Lays reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duluth, MN 55805
- Reassigned Medicare billing, Wisconsin enrollment
- 174 clinicians in this Medicare group
Superior, WI 54880
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: St Marys Hospital Of Superior
- 283 clinicians in this Medicare group
Moose Lake, MN 55767
- Reassigned Medicare billing, Minnesota enrollment
- 222 clinicians in this Medicare group
Dallas, TX 75246
- Reassigned Medicare billing, Texas enrollment
- 84 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health Duluth
Acute Care Hospitals · Duluth, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DULUTH, MN 55805
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andrea Lays's NPI number?
The NPI number for Andrea Lays is 1043479660. It was assigned to this individual provider in the NPPES registry on June 9, 2008. The provider is also known as Andrea R Howick MD.
Where is Andrea Lays located?
Andrea Lays practices at 420 E 1st St, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is Andrea Lays's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Andrea Lays enrolled in Medicare?
Yes. Andrea Lays is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Andrea Lays's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Lays reassigns Medicare benefits to 4 organizations: The Duluth Clinic, Ltd (Duluth, MN), St. Mary's Hospital Of Superior (Superior, WI), Essentia Health Moose Lake (Moose Lake, MN) and Medical City Ob-Gyn, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Lays's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrea Lays accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Andrea Lays as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Andrea Lays affiliated with any hospitals?
According to CMS data, Andrea Lays is affiliated with Essentia Health Duluth.
When was this NPI record last updated?
The NPPES record for Andrea Lays was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Andrea R Lays, MD · NPI 1043479660
Obstetrics & Gynecology physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since June 9, 2008.
## Identity
- **NPI:** 1043479660 (Entity type: Individual)
- **Enumerated:** June 9, 2008
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 68103 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 E 1ST ST, Duluth, MN 55805-1901
- **Phone:** (218) 786-8364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Duluth Clinic, Ltd (NPI 1245278209, Duluth, MN); St. Mary's Hospital Of Superior (NPI 1083657886, Superior, WI); Essentia Health Moose Lake (NPI 1154959880, Moose Lake, MN); Medical City Ob-Gyn, PLLC (NPI 1295275071, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** September 16, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1043479660) · Data from the CMS NPPES public registry.