SEAN DEANE LEJONVARN CNP
NPI 1003426230
Nurse Practitioner - Family in Waconia, MN

Q: What is Sean Lejonvarn's NPI number?

The NPI number for Sean Lejonvarn is 1003426230. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Q: What is Sean Lejonvarn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sean Lejonvarn was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 03, 2020PECOS EnrolledAccepts Medicare Assignment

212 W LAKE ST, WACONIA, MN 55387(763) 232-1209(833) 630-0621 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2023, Aug 3, 2020 (2 updates tracked since 2020).

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About Sean Deane Lejonvarn Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAN DEANE LEJONVARN CNP (NPI 1003426230) is an individual family provider in Waconia, Minnesota, licensed in Minnesota (7663) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003426230

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSEAN DEANE LEJONVARNCredential: CNP

Location Address212 W LAKE STWaconia, MN 55387-1014

Mailing Address212 W Lake StWaconia, MN 55387-1014 · (651) 603-4565 · Fax (833) 630-0621

Phone(763) 232-1209

Fax(833) 630-0621

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateAugust 3, 2020

Last NPPES UpdateApril 29, 20252 updates tracked since enumeration

NPPES CertifiedApril 29, 2025

✔ NPI 1003426230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 7663

212 W LAKE ST, Waconia, MN 55387

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Deane Lejonvarn Cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305265760

PECOS Enrollment IDI20201005000451

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sean Lejonvarn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Lights Health LLC

Same address

Primary Care

212 W LAKE ST
Waconia, MN 55387

Reassigned Medicare billing, Minnesota enrollment
18 clinicians in this Medicare group

NPI 1316581440 (920) 217-9035

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

555 services107 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

100 services57 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

80 services79 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

46 services15 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

39 services31 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

19 services16 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

Olivia Hospital & Clinic

Critical Access Hospitals · Olivia, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241306

Location100 Healthy WayOlivia, MN 56277 · Renville County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55387 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHERN LIGHTS HEALTH LLC

Nurse Practitioner (Primary Care)

212 W LAKE ST
WACONIA, MN 55387

Carver County (920) 217-9035

JOEY ROCHELLE MITCHELL

Nurse Practitioner (Adult Health)

212 W LAKE ST
WACONIA, MN 55387

Carver County (456) 565-1603

MRS. MELISSA ANN HILL FNP

Nurse Practitioner (Family)

212 W LAKE ST
WACONIA, MN 55387

Carver County (651) 603-4565

WATERSIDE HEALTHCARE & WELLNESS, LLC

Nurse Practitioner (Family)

212 W LAKE ST
WACONIA, MN 55387

Carver County (920) 217-9035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sean Lejonvarn's NPI number?

The NPI number for Sean Lejonvarn is 1003426230. It was assigned to this individual provider in the NPPES registry on August 3, 2020.

Where is Sean Lejonvarn located?

Sean Lejonvarn practices at 212 W Lake St, Waconia, MN 55387. The listed phone number is (763) 232-1209.

What is Sean Lejonvarn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sean Lejonvarn enrolled in Medicare?

Yes. Sean Lejonvarn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sean Lejonvarn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Lejonvarn reassigns Medicare benefits to Northern Lights Health LLC (Waconia, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Lejonvarn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Sean Lejonvarn affiliated with any hospitals?

According to CMS data, Sean Lejonvarn is affiliated with Park Nicollet Methodist Hospital and Olivia Hospital & Clinic.

When was this NPI record last updated?

The NPPES record for Sean Lejonvarn was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.