INGRID SC LUNDGREN MD
NPI 1336295930
Pediatrics - Pediatric Infectious Diseases in Boise, ID
About Ingrid Sc Lundgren Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INGRID SC LUNDGREN MD (NPI 1336295930) is an individual pediatric infectious diseases provider in Boise, Idaho, licensed in Idaho (M11411) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ingrid Sc Lundgren Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Ingrid Lundgren reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boise, ID 83712
- Reassigned Medicare billing, Idaho enrollment
- 1,312 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BOISE, ID 83712
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 Ingrid Lundgren's NPI number?
The NPI number for Ingrid Lundgren is 1336295930. It was assigned to this individual provider in the NPPES registry on January 26, 2007.
Where is Ingrid Lundgren located?
Ingrid Lundgren practices at 100 E Idaho St Ste 200, Boise, ID 83712. The listed phone number is (208) 381-7330.
What is Ingrid Lundgren's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.
Is Ingrid Lundgren enrolled in Medicare?
Yes. Ingrid Lundgren 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 Ingrid Lundgren's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ingrid Lundgren reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). 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 Ingrid Lundgren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ingrid Lundgren accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Ingrid Lundgren as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ingrid Lundgren was last updated on September 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ingrid Sc Lundgren, MD · NPI 1336295930
Pediatric Infectious Diseases physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1336295930 (Entity type: Individual)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Pediatrics - Pediatric Infectious Diseases · taxonomy 2080P0208X
- **State license:** M11411 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 E IDAHO ST, STE 200, Boise, ID 83712-6267
- **Phone:** (208) 381-7330
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Lukes Clinic-Treasure Valley LLC (NPI 1326336058, Boise, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Washington School Of Medicine, class of 2011
## Record status
- **NPPES last updated:** September 18, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1336295930) · Data from the CMS NPPES public registry.