Active NPI
Sheila Marie Lindgren, PA-C
- Physician Assistant
- Devils Lake, ND
National Provider Identifier
1194063503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PAC0512
- Practice address
- 200 Hwy 2 W
Lake Region Human Service Center
Devils Lake, ND 58301-0650 - Phone
- (701) 665-2200
- Fax
- (701) 665-2300
- NPI assigned
- Jan 18, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Devils Lake, ND
- NPI 1669411930
ND
-
- Land Ambulance
- Fort Totten, ND
- NPI 1740387059
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Spirit Lake Tribe
Practice addresses (Care Compare)
3883 74TH Ave NE
Spirit Lake Health Center
Fort Totten, ND 58335-0309
Phone (701) 766-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130312000442 | ND | Practitioner - Physician Assistant | 2668627993 | Reassigns benefits to 1 organization |
| I20210922000818 | TX | Practitioner - Physician Assistant | 2668627993 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAC0512 | ND | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spirit Lake Tribe | Current | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PAC0512 | ND | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
200 Hwy 2 W
Lake Region Human Service Center
Devils Lake, ND 58301-0650
Mailing address
200 Hwy 2 W
Lake Region Human Service Center
Devils Lake, ND 58301-0650
Phone (701) 665-2200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2014.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407196800000",
"number": "1194063503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HWY 2 W",
"address_2": "LAKE REGION HUMAN SERVICE CENTER",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583010650",
"telephone_number": "701-665-2200",
"fax_number": "701-665-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HWY 2 W",
"address_2": "LAKE REGION HUMAN SERVICE CENTER",
"city": "DEVILS LAKE",
"state": "ND",
"postal_code": "583010650",
"telephone_number": "701-665-2200",
"fax_number": "701-665-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDGREN",
"first_name": "SHEILA",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2014-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ND",
"license": "PAC0512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Devils Lake, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.