LACEY ZEISZLER GRUGEL
NPI 1659132454
Physician Assistant in Corvallis, OR

Q: What is Lacey Grugel's NPI number?

The NPI number for Lacey Grugel is 1659132454. It was assigned to this individual provider in the NPPES registry on January 18, 2024.

Q: What is Lacey Grugel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lacey Grugel was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 18, 2024PECOS EnrolledAccepts Medicare Assignment

3620 NW SAMARITAN DR STE 202, CORVALLIS, OR 97330(541) 768-4810 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 1, 2026, Sep 19, 2024, Jul 23, 2024 and 1 more (4 updates tracked since 2024).

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About Lacey Zeiszler Grugel NPPES

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

LACEY ZEISZLER GRUGEL (NPI 1659132454) is an individual physician assistant in Corvallis, Oregon, licensed in Oregon (PA221833) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Regional Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2024).

NPPES Registry Identity

NPI1659132454

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLACEY ZEISZLER GRUGEL

Location Address3620 NW SAMARITAN DR STE 202Corvallis, OR 97330-3785

Mailing AddressPo Box 1189Corvallis, OR 97339-1189

Phone(541) 768-4810

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2024

Enumeration DateJanuary 18, 2024

Last NPPES UpdateMay 1, 20264 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1659132454 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 OR · PA221833

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.

3620 NW SAMARITAN DR STE 202, Corvallis, OR 97330

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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

Lacey Zeiszler Grugel 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 ID4587101258

PECOS Enrollment IDI20240731002198

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

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

Good Samaritan Regional Medical Center

Acute Care Hospitals · Corvallis, OR

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number380014

Location3600 NW Samaritan DriveCorvallis, OR 97330 · Benton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97330 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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 15

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

JONATHAN DAVID JONES MD

Internal Medicine (Rheumatology)