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

Individual provider Physician Assistant · NPI 1457378127

Jason Patrick Lizakowski, PA-C is a Physician Assistant in Fargo, North Dakota. Qualified in 2004, 22 years ago. Practices with St Marys Regional Health Center, a 188-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and North Dakota.

Years since qualifying
22
Licensed in
MN, ND
In the registry since
2006
Specialties on file
2
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

3000 32nd Ave S
Fargo, ND 58103-6132
Phone: (701) 364-8000
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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 PAC0316 (ND)
Physician Assistant Taxonomy 363A00000X · Licence 9959 (MN)

Record details

NPI number1457378127
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESAugust 24, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice St Marys Regional Health Center — 188 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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