Tina M Lundeen, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R112247-9 Issued in MN

Practice address

600 4TH St S
Fargo, ND 58103-2804

Phone

(701) 234-3900

Fax

(701) 234-3951

NPI assigned

Jul 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perham Hospital DistrictGroup PAC ID 2264327766, shared by 5 NPIs, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Perham Health Hospital, Perham, MN, CCN 241373

Merit-based Incentive Payment System (MIPS)

Final score

87.39 of 100Reported as group

Quality

91.62

Promoting interoperability

100

Improvement activities

40

Cost

66.36

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Perham Hospital District

  dba Perham Health

  • Critical Access Hospital
  • Perham, MN
  • NPI 1790799518
  Medicare reassignment NPD
• Perham Hospital District

  dba Perham Health

  • Chiropractor
  • Perham, MN
  • NPI 1932113768
  Medicare reassignment NPD
• Perham Hospital District

  dba Perham Health

  • Family Medicine Physician
  • Perham, MN
  • NPI 1457631814
  NPD
• Perham Hospital District

  • Durable Medical Equipment & Medical Supplies
  • Perham, MN
  • NPI 1558630012
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Perham Hospital District

  dba Perham Health

  • Family Medicine Physician
  • Perham, MN
  • NPI 1457631814

  Hospital

  Care Compare affiliation
• Perham Hospital District

  dba Perham Health

  • Critical Access Hospital
  • Perham, MN
  • NPI 1790799518
  Care Compare affiliation

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1023030517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032804",
            "telephone_number": "701-234-3900",
            "fax_number": "701-234-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032804",
            "telephone_number": "701-234-3900",
            "fax_number": "701-234-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDEEN",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R112247-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylee Lund
• Gabrielle Lunday
• Janell J Lunde
• Lara N Lunde, MD
• Mark Allen Lundeen, MD
• Kathryn Scheela Lundquist
• Lundstrom & Skari Family Dentistry, LLC
• Lundstrom & Skari Family Family Dentistry
• Hannah Elaine Lundstrom
• James Fred Lundstrom

• Nurse Practitioner in Fargo, ND
• Providers in Fargo, ND by specialty
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.