JENNIFER ANN LUNDGREN PMHNP
NPI 1104515311
Psychiatry & Neurology - Psychiatry in Shenandoah, IA

Q: What is Jennifer Lundgren's NPI number?

The NPI number for Jennifer Lundgren is 1104515311. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Q: What is Jennifer Lundgren's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lundgren was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 May 03, 2023PECOS EnrolledAccepts Medicare Assignment

300 PERSHING AVE, SHENANDOAH, IA 51601(712) 246-7285 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 18, 2023, May 3, 2023 (2 updates tracked since 2023).

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About Jennifer Ann Lundgren Pmhnp NPPES

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

JENNIFER ANN LUNDGREN PMHNP (NPI 1104515311) is an individual psychiatry provider in Shenandoah, Iowa, licensed in Iowa (G174269) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Shenandoah Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104515311

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameJENNIFER ANN LUNDGRENCredential: PMHNP

Location Address300 PERSHING AVEShenandoah, IA 51601-2355

Mailing Address300 Pershing AveShenandoah, IA 51601-2355 · (712) 246-7285

Phone(712) 246-7285

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 3, 2023

Last NPPES UpdateMay 18, 20232 updates tracked since enumeration

NPPES CertifiedMay 18, 2023

✔ NPI 1104515311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IA · G174269

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 155203 (IA)

300 PERSHING AVE, Shenandoah, IA 51601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Jennifer Ann Lundgren Pmhnp 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 ID1052779782

PECOS Enrollment IDI20230628000158

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 Jennifer Lundgren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shenandoah Medical Center

Same address

Rural Health

1 JACK FOSTER DR
Shenandoah, IA 51601

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1184621096 (Iowa)
91 clinicians in this Medicare group

NPI 1427300201 (712) 246-7240

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

Hospital Affiliations CMS Care Compare

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

Shenandoah Medical Center

Critical Access Hospitals · Shenandoah, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161366

Location300 Pershing AvenueShenandoah, IA 51601 · Page County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51601 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

$161.40 typical visit price

range $52.96 – $161.40

Typical copayment $40.35 (range $13.24 – $40.35)

Most-billed visit code 99205

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

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 20

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

ALISHA ANN HOUCHIN PTA

Physical Therapy Assistant