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
Last updated
Sep 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 20217A WY Primary

Addresses

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

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.

Enrollment records 1

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

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, IncGroup PAC ID 0648208504, 259 clinicians
Avance Care PAGroup PAC ID 3577634476, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20217AWYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scotland Memorial Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Avance Care, PA CurrentSince May 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Raleigh Medical Group, PA PastSince May 1, 2025 Accepting new patients
Harris Family Practice PLLC Family Medicine Past 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 (919) 782-1806

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "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.