HANNAH ELAINE LUNDSTROM
NPI 1790665313
Physician Assistant in Fargo, ND

Q: What is Hannah Lundstrom's NPI number?

The NPI number for Hannah Lundstrom is 1790665313. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Q: What is Hannah Lundstrom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Hannah Lundstrom was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 04, 2025PECOS EnrolledAccepts Medicare Assignment

3902 13TH AVE S, FARGO, ND 58103(701) 364-6600 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2025, Sep 4, 2025 (2 updates tracked since 2025).

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About Hannah Elaine Lundstrom NPPES

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

HANNAH ELAINE LUNDSTROM (NPI 1790665313) is an individual physician assistant in Fargo, North Dakota and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790665313

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHANNAH ELAINE LUNDSTROM

Location Address3902 13TH AVE SFargo, ND 58103-3357

Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364

Phone(701) 364-6600

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 4, 2025

Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1790665313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3902 13TH AVE S, Fargo, ND 58103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hannah Elaine Lundstrom 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 ID6800388380

PECOS Enrollment IDI20251121003268

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.

Hospital Affiliations CMS Care Compare

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

Essentia Health

Acute Care Hospitals · Fargo, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350070

Location3000 32nd Ave SouthFargo, ND 58104 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$69.48 typical visit price

range $18.11 – $137.65

Typical copayment $17.37 (range $4.52 – $34.41)

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.

BARBRA BRIGITTE BROOKSHIRE O.D.

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