Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jesse La Sala, PA-C

Individual provider Physician Assistant · NPI 1356172340

Mrs. Jesse La Sala, PA-C is a Physician Assistant in Lansing, Michigan. Qualified in 2024, 2 years ago. Practices with McLaren Greater Lansing, a 96-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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

6465 Millennium Ste 100
Lansing, MI 48917-7831
Phone: (517) 975-3720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1356172340
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 12, 2024
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice McLaren Greater Lansing — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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