Active NPI
Wendi Joy Lundquist, D.O.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 005097
- Practice address
- 15547 N Reems Rd BLDG a
Surprise, AZ 85374-9583 - Phone
- (623) 535-9777
- Fax
- (623) 236-3179
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 4116 | WV | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 005097 | AZ | Primary |
Addresses
Primary practice location
15547 N Reems Rd BLDG a
Surprise, AZ 85374-9583
Mailing address
15547 N Reems Rd BLDG a
Surprise, AZ 85374-9583
Phone (623) 535-9777
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2663023 | Medicaid | OH | |
| 3810005554 | Medicaid | WV | |
| 401924 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Arizona College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15547 N Reems Rd
BLDG a
Surprise, AZ 85374-9583
Phone (623) 535-9777
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.16 of 100
- Quality
- 88
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 52.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4116 | WV | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Life Physical Medicine and Pain Center, PLLC | Pain Medicine | Current | Accepting new patients |
| Advanced Anesthesia, PLC | Current | Accepting new patients | |
| Innovative Surgery Center PLC | Current | Accepting new patients | |
| Pars Neurosurgical Associates, Inc | Past | Accepting new patients | |
| Valley Neuromonitoring PLC | Past | Accepting new patients |
Locations
3400 N Dysart Rd
Ste H131
Avondale, AZ 85392
Phone (623) 535-9777
13575 W Indian School Rd
Ste 7
Litchfield Park, AZ 85340
13575 W Indian School Rd
Ste 700
Litchfield Pk, AZ 85340
Phone (623) 935-5505
15547 N Reems Rd
#A
Surprise, AZ 85374
15547 N Reems Rd
Surprise, AZ 85374
Phone (623) 535-9777
15547 N Reems Rd
Bldg A
Surprise, AZ 85374
Phone (623) 535-9777
15547 N Reems Rd
Ste A
Surprise, AZ 85374
Phone (623) 535-9777
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CBAIAA
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Surprise, AZ
- NPI 1811130016
-
- Anesthesiology Physician
- Surprise, AZ
- NPI 1881040046
-
- Ambulatory Surgical Clinic/Center
- Surprise, AZ
- NPI 1932644606
-
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
- Neurological Surgery Physician
- Surprise, AZ
- NPI 1215585435
-
- Neurological Surgery Physician
- Parkersburg, WV
- NPI 1457396152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685318400000",
"number": "1801847546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15547 N REEMS RD BLDG A",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853749583",
"telephone_number": "623-535-9777",
"fax_number": "623-236-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15547 N REEMS RD BLDG A",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853749583",
"telephone_number": "623-535-9777",
"fax_number": "623-236-3179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDQUIST",
"first_name": "WENDI",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2023-05-29",
"certification_date": "2023-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "WV",
"license": "4116",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "AZ",
"license": "005097",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2663023",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810005554",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "401924",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.