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

Miss. Crystal Ann Waagmeester, PA

Individual provider Medical Physician Assistant · NPI 1861798936

Miss. Crystal Ann Waagmeester, PA is a Physician Assistant in East Gull Lake, Minnesota. Qualified in 2010, 16 years ago. Practices with St Josephs Medical Center, a 240-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
16
Licensed in
MN, WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3559 Shady Lane Cir
East Gull Lake, MN 56401-7940
Phone: (218) 234-3101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 11309 (MN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3918-23 (WI)

Record details

NPI number1861798936
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 7, 2011
Last updated in NPPESOctober 5, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice St Josephs Medical Center — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare