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STEFANI LUNDBORG LN
NPI 1558947853
Nutritionist in Saint Paul, MN

Active since March 18, 2021Accepts Medicare Assignment
30 FAIRVIEW AVE S STE 200, SAINT PAUL, MN 55105(952) 835-4512(888) 425-0398 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 3, 2025, Mar 18, 2021 (2 updates tracked since 2021).

About Stefani Lundborg Ln NPPES

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

STEFANI LUNDBORG LN (NPI 1558947853) is an individual nutritionist in Saint Paul, Minnesota, licensed in Minnesota (N238) and active in the NPI registry since March 2021. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1558947853
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameSTEFANI LUNDBORGCredential: LN
Location Address30 FAIRVIEW AVE S STE 200Saint Paul, MN 55105-1463
Mailing Address7825 3rd St N, Ste 105Oakdale, MN 55128-5444 · (952) 835-4512 · Fax (888) 425-0395
Phone(952) 835-4512
Fax(888) 425-0398
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 18, 2021
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1558947853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in MN · N238
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
30 FAIRVIEW AVE S STE 200, Saint Paul, MN 55105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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

Stefani Lundborg Ln 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 ID840663472
PECOS Enrollment IDI20230302000721

Medicare Billing Reassignment

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

Infinite Health Collaborative, PA
9.3 mi
Orthopaedic Surgery
3500 AMERICAN BLVD W STE 300
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 728 clinicians in this Medicare group
NPI 1164474250 (952) 512-5600

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

Other Providers at the Same Location NPPES 9

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

SAVANNAH M SAFAR PT
Physical Therapist
30 FAIRVIEW AVE S STE 200
SAINT PAUL, MN 55105
Ramsey County (877) 609-0123
MICHAEL PICKEN PT
Physical Therapist
30 FAIRVIEW AVE S STE 200
SAINT PAUL, MN 55105
Ramsey County (877) 609-0123
PETER DAVID AGGEN DPT
Physical Therapist
30 FAIRVIEW AVE S STE 200
SAINT PAUL, MN 55105
Ramsey County (952) 835-4512
ANN T KAMINSKI MPT, OCS, CFMT
Physical Therapist
30 FAIRVIEW AVE S STE 200
SAINT PAUL, MN 55105
Ramsey County (952) 835-4512
LAURYN ROSZAK PT
Physical Therapist
30 FAIRVIEW AVE S STE 200
SAINT PAUL, MN 55105
Ramsey County (877) 609-0123
KAYLA MARIE TACKMANN DPT
Physical Therapist
30 FAIRVIEW AVE S STE 200
SAINT PAUL, MN 55105
Ramsey County (952) 835-4512
MR. JACOB CHRISTIAN HARLE DPT, ATC
Physical Therapist
30 FAIRVIEW AVE S STE 200
SAINT PAUL, MN 55105
Ramsey County (952) 835-4512
DR. ANDREA MARIE WENDT DPT
Physical Therapist
30 FAIRVIEW AVE S STE 200
SAINT PAUL, MN 55105
Ramsey County (952) 835-4512

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 Stefani Lundborg's NPI number?

The NPI number for Stefani Lundborg is 1558947853. It was assigned to this individual provider in the NPPES registry on March 18, 2021.

Where is Stefani Lundborg located?

Stefani Lundborg practices at 30 Fairview Ave S Ste 200, Saint Paul, MN 55105. The listed phone number is (952) 835-4512.

What is Stefani Lundborg's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Stefani Lundborg enrolled in Medicare?

Yes. Stefani Lundborg 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 Stefani Lundborg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefani Lundborg reassigns Medicare benefits to Infinite Health Collaborative, PA (Bloomington, 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 Stefani Lundborg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stefani Lundborg accept?

Health plans from HealthPartners list Stefani Lundborg 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 Stefani Lundborg was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.