Tina M Lundeen (NPI# 1023030517, PAC ID# 3779558317) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1023030517 |
| PAC ID by PECOS | 3779558317 |
| Professional Enrollment ID | I20040827000808 |
| Full Name | Tina M Lundeen |
| Organization Legal Name | INNOVIS HEALTH, LLC |
| Address |
1361 Wenner Rd Detroit Lakes MN 56501-7918 |
| Phone Number | 2188469981 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1995 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9931298155 |
| Number of Group Practice Members | 371 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 350070 | ESSENTIA HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 | 2188469981 | INNOVIS HEALTH, LLC |
| 3902 13 Ave S, Fargo, ND 58103-3357 | 7013646600 | INNOVIS HEALTH, LLC |
| 4110 51st Ave S, Fargo, ND 58104-7776 | 7013643100 | INNOVIS HEALTH, LLC |
| 720 Main Ave, Moorhead, MN 56560-2752 | 2183590399 | INNOVIS HEALTH, LLC |
| Organization Legal Name | INNOVIS HEALTH, LLC |
| Physicians | 358 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyrie Marie Severson | Nurse Practitioner | Innovis Health, LLC | 4622 40th Ave S, Suite A, Fargo, ND 58104-4394 |
| Holli Marquart | Nurse Practitioner | Innovis Health, LLC | 2430 20th St Sw, Jamestown, ND 58401-6201 |
| Michelle R Bradley | Family Medicine | Innovis Health, LLC | 4110 51st Ave S, Fargo, ND 58104-7776 |
| Taylor G Mertz | Family Medicine | Innovis Health, LLC | 801 Belsly Blvd, Moorhead, MN 56560-5055 |
| Bonita J Jenzen | Nurse Practitioner | Innovis Health, LLC | 501 Main Ave S, Hankinson, ND 58041-4108 |
| Zena K Homan | Obstetrics/gynecology | Innovis Health, LLC | 3000 32nd Ave S, Fargo, ND 58103-6132 |
| Daniel J Levin | Optometry | Innovis Health, LLC | 1100 19th Ave N, Suite Landm, Fargo, ND 58102-5906 |
| Brian K Cooper | Physician Assistant | Innovis Health, LLC | 275 11th St S, Wahpeton, ND 58075-4655 |
| Joel Ross Haugen | Family Medicine | Innovis Health, LLC | 5 9th Ave N, Casselton, ND 58012-3339 |
| Hans E Bjellum | Family Medicine | Innovis Health, LLC | 720 Main Ave, Moorhead, MN 56560-2752 |
| Street Address |
1361 WENNER RD |
| City | DETROIT LAKES |
| State | MN |
| Zip | 56501-7918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurtis K Motschenbacher | Physician Assistant | Innovis Health, LLC | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 |
| Amy A Allard | Nurse Practitioner | Innovis Health, LLC | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 |
| Nancy M Eastman | Physician Assistant | Innovis Health, LLC | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 |
| Marilyn E Ek | Nurse Practitioner | Innovis Health, LLC | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 |
| Kristen L Johnson | Nurse Practitioner | Innovis Health, LLC | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 |
| Carole J Stanger | Nurse Practitioner | Innovis Health, LLC | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 |
| Gary Alan Miller | Physician Assistant | Innovis Health, LLC | 1361 Wenner Rd, Detroit Lakes, MN 56501-7918 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul W Bender | Chiropractic | 119 Washington Ave, Detroit Lakes, MN 56501-2403 | |
| Juihsien Kao | Psychologist, Clinical | Solutions Behavioral Healthcare Professionals | 1104 W River Rd, Detroit Lakes, MN 56501-2723 |
| Tessie Blake | Psychologist, Clinical | Solutions Behavioral Healthcare Professionals | 1104 W River Rd, Detroit Lakes, MN 56501-2723 |
| Mary Lindstrom Amundson | Clinical Social Worker | Solutions Behavioral Healthcare Professionals | 1104 W River Rd, Detroit Lakes, MN 56501-2723 |
| Chad C Erickson | Psychiatry | Lakeland Mental Health Center Inc | 928 Se 8th St, Detroit Lakes, MN 56501-2839 |
| Audrey A Kolnes | Clinical Social Worker | Lakeland Mental Health Center Inc | 928 Se 8th St, Detroit Lakes, MN 56501-2839 |
| Wanda J Dahlen | Psychologist, Clinical | Lakeland Mental Health Center Inc | 928 Se 8th St, Detroit Lakes, MN 56501-2839 |
| Thomas C Wilson | Chiropractic | Detroit Lakes Chiropractic, PC | 213 State St W, Detroit Lakes, MN 56501-3005 |
| Dustin P Johnson | Chiropractic | Detroit Lakes Chiropractic, PC | 213 State St W, Detroit Lakes, MN 56501-3005 |
| Idriz Kovacevic I | Sleep Medicine | Whitney Sleep Diagnostics and Consultants, LLC | 712 Washington Ave, Detroit Lakes, MN 56501-3012 |
| Find all physicians in zip 56501 | |||
| City | DETROIT LAKES |
| Zip Code | 56501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DETROIT LAKES + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.