Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lacey Zeiszler Grugel

Individual provider Physician Assistant · NPI 1659132454

Lacey Zeiszler Grugel is a Physician Assistant in Corvallis, Oregon. Graduated from University of North Dakota School of Medicine in 2024, 2 years ago. Practices with Good Samaritan Hospital Corvallis, a 375-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Trained at
University of North Dakota School of Medicine
Licensed in
OR
In the registry since
2024
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Practice location Address checks out

3620 NW Samaritan Dr Ste 202
Corvallis, OR 97330-3785
Phone: (541) 768-4810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 835 34th Ave E Apt 105, West Fargo, ND 58078-7997 — (701) 659-0127

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA221833 (OR)

Record details

NPI number1659132454
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2024
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Good Samaritan Hospital Corvallis — 375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Corvallis