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

Molly Grace D'Agostino

Individual provider Physician Assistant · NPI 1972082899

Molly Grace D'Agostino is a Physician Assistant in LA Crosse, Wisconsin. Qualified in 2018, 8 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1836 S Ave
LA Crosse, WI 54601-5429
Phone: (608) 782-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5000 W National Ave, Milwaukee, WI 53295-0001 — (608) 738-8450

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4459-23 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4459-23 (WI)

Record details

NPI number1972082899
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2018
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Crosse