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

Mrs. Madison Lane Fugate, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912574823

Mrs. Madison Lane Fugate, PA is a Physician Assistant in Lees Summit, Missouri. Qualified in 2021, 5 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Lees Summit, MO

Additional practice locations (1)

  • 4940 W 137th St Ste B, Leawood, KS 66224-3633 — (816) 525-2840

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2021046816 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912574823
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESFebruary 2, 2022
Certification dateFebruary 2, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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