Individual provider Active NPI

Maggie Laufenberg, PA-C

  • Medical Physician Assistant
  • White Bear Lake, MN
National Provider Identifier
1639327182
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5532-23 Issued in WI
Practice address
2179 4TH St
White Bear Lake, MN 55110-3028
Phone
(651) 705-7872
NPI assigned
Sep 8, 2008
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14479 MN
Physician Assistant 363A00000X 1372 NH
Medical Physician Assistant 363AM0700X 5532-23 WI Primary

Addresses

Primary practice location

2179 4TH St
White Bear Lake, MN 55110-3028

Mailing address

921 5TH Ave S
La Crosse, WI 54601-4559
Phone (608) 782-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713002003 WI Practitioner - Physician Assistant 3971668237 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1372NHMDAthletic Trainer
5532-23WIMDMedical Physician Assistant
963AKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Physicians, S.C. CurrentSince Aug 28, 2024 Accepting new patients
Momenta Mental Health CurrentSince Jul 7, 2026 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince May 15, 2023 Accepting new patients
Hudson Physicians, S.C. CurrentSince Aug 28, 2024 Accepting new patients
Lake and Valley Family Therapy LLC Physician Assistant CurrentSince Jul 7, 2026 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Jun 13, 2022 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc CurrentSince Jun 13, 2022 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince May 15, 2023 Accepting new patients
Orthoalaska LLC PastSince Jan 21, 2024 Accepting new patients
Ortho Rehab Specialists PLLC Past Accepting new patients

Locations

2179 4th St
Ste 2B
White Bear Lake, MN 55110
Phone (651) 360-1995

2179 4th St
Ste 2F
White Bear Lake, MN 55110
Phone (651) 360-1995

2310 Crest View Dr
Hudson, WI 54016
Phone (715) 381-5923

2651 Hillcrest Dr
Hudson, WI 54016
Phone (630) 632-2648

2651 Hillcrest Dr
Ste 303
Hudson, WI 54016

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

525 N Knowles Ave
#100
New Richmond, WI 54017

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mlaufenberg733440@direct.gundersenhealth.org
  • Direct secure messaging: mlaufenberg777840@direct.gundersenhealth.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1639327182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 5TH AVE S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014559",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2179 4TH ST",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103028",
            "telephone_number": "651-705-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUFENBERG",
        "first_name": "MAGGIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14479",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1372",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "5532-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

Verify at the official NPI Registry.