Individual provider Active NPI

Netsanet Lundahl, MD

  • Family Medicine Physician
  • Casper, WY
National Provider Identifier
1669059077
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20217A Issued in WY
Practice address
6600 E 2ND St
Casper, WY 82609-4348
Phone
(307) 233-0202
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 15

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 1

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scotland Memorial Hospital, Inc 259 clinicians
Avance Care PA 244 clinicians

Practice addresses (Care Compare)

17 Livermore Dr
Pembroke, NC 28372-7282
Phone (910) 522-7220

400 Attain St
Suite 202
Fuquay Varina, NC 27526-2702
Phone (984) 377-8675

410 -D S Jones St
Pembroke, NC 28372-7261
Phone (910) 504-8540

Hospital & facility affiliations

  • Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241120003762 NC Practitioner - Family Practice 9830590496 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202402632NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avance Care, PA CurrentSince May 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Harris Family Practice PLLC Family Medicine Past Accepting new patients
Raleigh Medical Group, PA PastSince May 1, 2025 Accepting new patients

Locations

4705 University Dr
Bldg 700
Durham, NC 27707
Phone (919) 237-1337

400 Attain St
Ste 202
Fuquay Varina, NC 27526
Phone (984) 377-8675

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

7510 Ramble Way
Ste 107
Raleigh, NC 27616
Phone (919) 277-8880

Interoperability endpoints

  • Direct secure messaging: nlundahl36869@fastmed.direct-ci.com
  • Direct secure messaging: nlundhal2883546@carolinashealthcaresystem.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20217A WY Primary

Addresses

NPPES NPI Registry

Primary practice location

6600 E 2ND St
Casper, WY 82609-4348

Mailing address

6600 E 2ND St
Casper, WY 82609-4348
Phone (307) 233-0202

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 3, 2026.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1669059077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094348",
            "telephone_number": "307-233-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 E 2ND ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094348",
            "telephone_number": "307-233-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDAHL",
        "first_name": "NETSANET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WY",
            "license": "20217A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.