DR. MARY GRACE HERNANDEZ LASQUETY (M.D.) – Family Medicine Physician, NPI 1003059353

DR. MARY GRACE HERNANDEZ LASQUETY (M.D.) is a healthcare provider. based in Glendale, Wisconsin. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 56635 (WI). The NPI Number for DR. MARY GRACE HERNANDEZ LASQUETY (M.D.) is 1003059353

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY GRACE HERNANDEZ LASQUETY (M.D.)
NPI
1003059353
Phone
(414) 319-3000
Address
4425 N PORT WASHINGTON RD
Enumeration Date
16 April 2009
Last Update Date
20 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4143193000
Graduation Year
2007 (19 years ago)
PAC ID
7113182759
Group Practice PAC ID
5890604722
Professional Enrollment ID
I20120703000560
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARY GRACE HERNANDEZ LASQUETY (M.D.)

  • Columbia College of Nursing, 4425, North Port Washington Road, Grover Heights, Glendale, Milwaukee County, Wisconsin, 53212, United States

    GLENDALE, WI 532121082

    Phone: (414) 319-3000

    Type: Mailing

  • 2311, North Prospect Avenue, Northpoint, Milwaukee, Milwaukee County, Wisconsin, 53211, United States

    MILWAUKEE, WI 532114445

    Phone: (414) 319-3000

    Fax: (414) 319-3033

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5146$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
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Insurance plans in this area (ZIP 53212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890604722View full group profile

Reviews

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Frequently asked questions

Does DR. MARY GRACE HERNANDEZ LASQUETY (M.D.) have a public NPI I can cite?
Public records show DR. MARY GRACE HERNANDEZ LASQUETY (M.D.) under NPI 1003059353.
Does the public listing show DR. MARY GRACE HERNANDEZ LASQUETY (M.D.) as active?
DR. MARY GRACE HERNANDEZ LASQUETY (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits DR. MARY GRACE HERNANDEZ LASQUETY (M.D.)?
NPPES ties DR. MARY GRACE HERNANDEZ LASQUETY (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MARY GRACE HERNANDEZ LASQUETY (M.D.)?
DR. MARY GRACE HERNANDEZ LASQUETY (M.D.) shows a connection to Glendale, Wisconsin in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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