NPIMap

Individual provider Active NPI

Anna C Lundeen, MD

  • Family Medicine Physician
  • Craig, CO
National Provider Identifier
1396903274
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
46259 Issued in CO
Practice address
745 Russell St.
Craig, CO 81625-2019
Phone
(970) 824-8233
Fax
(970) 824-2548
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 46259 CO Primary

Addresses

Primary practice location

745 Russell St.
Craig, CO 81625-2019

Mailing address

745 Russell St.
Craig, CO 81625-2019
Phone (970) 824-8233

Other identifiers 1

IdentifierTypeStateIssuer
84551577MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000397 CO Practitioner - Family Practice 7214074897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

745 Russell St
Craig, CO 81625-2019
Phone (970) 824-8233

940 Central Park Dr
Suite 101
Steamboat Springs, CO 80487-8853
Phone (970) 879-1632

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46259COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Colorado Visiting Nurse Association CurrentSince Apr 11, 2011 Accepting new patients
Wellev8, LLC Family Medicine Current Accepting new patients
Northwest Colorado Visiting Nurse Association CurrentSince Apr 11, 2011 Accepting new patients
Northwest Colorado Visting Nurse Association Past Accepting new patients
Northwest Colorado Visiting Nurse Association Past Accepting new patients

Locations

745 Russell St
#0
Craig, CO 81625

745 Russell St
Craig, CO 81625
Phone (970) 824-8233

940 Central Park Dr
Ste 101
Steamboat Springs, CO 80487
Phone (970) 871-7680

Interoperability endpoints

  • Direct secure messaging: anna.lundeen@nwcovna.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJDGAA

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1396903274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 RUSSELL ST.",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252019",
            "telephone_number": "970-824-8233",
            "fax_number": "970-824-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 RUSSELL ST.",
            "city": "CRAIG",
            "state": "CO",
            "postal_code": "816252019",
            "telephone_number": "970-824-8233",
            "fax_number": "970-824-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDEEN",
        "first_name": "ANNA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "46259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84551577",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Craig, CO

Sources for this page

Verify at the official NPI Registry.