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AVA MAY GONSOROWSKI PA
NPI 1629779731
Physician Assistant in Cloquet, MN

Active since March 15, 2023PECOS EnrolledAccepts Medicare Assignment
512 SKYLINE BLVD STE 1, CLOQUET, MN 55720(218) 879-4641(218) 878-7081 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 20, 2024, Mar 15, 2023 (2 updates tracked since 2023).

About Ava May Gonsorowski Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVA MAY GONSOROWSKI PA (NPI 1629779731) is an individual physician assistant in Cloquet, Minnesota, licensed in Minnesota (15077) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Cook Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629779731
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAVA MAY GONSOROWSKICredential: PA
Location Address512 SKYLINE BLVD STE 1Cloquet, MN 55720-1199
Mailing Address512 Skyline BlvdCloquet, MN 55720-3787 · (218) 879-4641
Phone(218) 879-4641
Fax(218) 878-7081
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 15, 2023
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1629779731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 15077
Definition
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.
512 SKYLINE BLVD STE 1, Cloquet, MN 55720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ava May Gonsorowski Pa 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.

PECOS PAC ID9931633526
PECOS Enrollment IDI20241105001088
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cook Hospital

Critical Access Hospitals · Cook, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241312
Location10 SE Fifth StCook, MN 55723 · St. Louis County
Emergency services

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241364
Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55720 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALI REZA ARBABI MD
Family Medicine
512 SKYLINE BLVD STE 1
CLOQUET, MN 55720
Carlton County (218) 879-4641
DR. ERIC CHARLES WEIGEL DNP
Nurse Practitioner
512 SKYLINE BLVD STE 1
CLOQUET, MN 55720
Carlton County (218) 879-4641
DAVID SCOTT ANDERSON MD
Emergency Medicine
512 SKYLINE BLVD STE 1
CLOQUET, MN 55720
Carlton County (218) 879-4641
SARAH ELIZABETH CLASS RN, CDCES
Registered Nurse
512 SKYLINE BLVD STE 1
CLOQUET, MN 55720
Carlton County (218) 878-7664
STEPHEN M BOCKHOLD M.D.
Family Medicine
512 SKYLINE BLVD STE 1
CLOQUET, MN 55720
Carlton County (218) 879-4641
JONATHAN ROBERT SANDE MD
Internal Medicine (Hematology & Oncology)
512 SKYLINE BLVD STE 1
CLOQUET, MN 55720
Carlton County (218) 879-4641
DR. BRIGID MARY PAJUNEN M.D.
Family Medicine
512 SKYLINE BLVD STE 1
CLOQUET, MN 55720
Carlton County (218) 879-4641
DR. STACEY LYNN GUTMAN M.D.
Surgery
512 SKYLINE BLVD STE 1
CLOQUET, MN 55720
Carlton County (218) 879-4641

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 Ava Gonsorowski's NPI number?

The NPI number for Ava Gonsorowski is 1629779731. It was assigned to this individual provider in the NPPES registry on March 15, 2023.

Where is Ava Gonsorowski located?

Ava Gonsorowski practices at 512 Skyline Blvd Ste 1, Cloquet, MN 55720. The listed phone number is (218) 879-4641.

What is Ava Gonsorowski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ava Gonsorowski enrolled in Medicare?

Yes. Ava Gonsorowski 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.

What insurance does Ava Gonsorowski accept?

Health plans from Medica and Security Health Plan list Ava Gonsorowski 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 Ava Gonsorowski affiliated with any hospitals?

According to CMS data, Ava Gonsorowski is affiliated with Cook Hospital and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ava Gonsorowski was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.