Individual provider Active NPI

Sheila Marie Lindgren, PA-C

  • Physician Assistant
  • Devils Lake, ND
National Provider Identifier
1194063503
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PAC0512 Issued in ND
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.

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 22 clinicians

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, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
PAC0512NDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spirit Lake Tribe CurrentSince Jul 12, 2021 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PAC0512 ND Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.