Individual provider Active NPI

Gretta Freyermuth Lundgren, PA-C

  • Medical Physician Assistant
  • Austin, TX
National Provider Identifier
1598207409
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA17342 Issued in TX
Practice address
1004 W 32ND St Ste 100
Austin, TX 78705-1915
Phone
(512) 324-3410
Fax
(512) 324-3409
NPI assigned
Nov 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA180594 OR
Medical Physician Assistant 363AM0700X PA17342 TX Primary

Addresses

Primary practice location

1004 W 32ND St Ste 100
Austin, TX 78705-1915

Mailing address

1004 W 32ND St Ste 100
Austin, TX 78705-1915
Phone (512) 324-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, 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
I20170119001165 OR Practitioner - Physician Assistant 8123300506 Reassigns benefits to 2 organizations
I20240123003870 TX Practitioner - Physician Assistant 8123300506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
Austin, TX 78705-1915

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA180594ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Jan 8, 2024 Accepting new patients
Seton Family of Doctors CurrentSince Jan 8, 2024 Accepting new patients
Icco, LLC CurrentSince Jan 1, 2017 Accepting new patients
Peacehealth Medical Group CurrentSince Jun 10, 2019 Accepting new patients

Locations

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

2484 River Rd
Eugene, OR 97404
Phone (541) 222-7600

1004 W 32nd St
Ste 100
Austin, TX 78705
Phone (512) 324-3410

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: gretta.lundgren.1@8363.direct.athenahealth.com
  • Direct secure messaging: gfreyermuth405432@direct.peacehealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1598207409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051915",
            "telephone_number": "512-324-3410",
            "fax_number": "512-324-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 W 32ND ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051915",
            "telephone_number": "512-324-3410",
            "fax_number": "512-324-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDGREN",
        "first_name": "GRETTA",
        "middle_name": "FREYERMUTH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA180594",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA17342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.