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LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC.
NPI 1821114729
Nurse Practitioner - Neonatal in Stillwater, MN

Active since March 22, 2007
927 CHURCHILL ST W, STILLWATER, MN 55082(651) 430-4529(651) 430-4528 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2026, Jan 21, 2019 (2 updates tracked since 2019).

About Lakeview Memorial Hospital Association Inc. NPPES

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

LAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC. (NPI 1821114729) is a healthcare organization registered as a neonatal in Stillwater, Minnesota and active in the NPI registry since March 2007. The organization lists Brandi Lunneborg, President, as its authorized official.

NPPES Registry Identity

NPI1821114729
Entity TypeOrganization
Primary Taxonomy363LN0000X
Legal Business NameLAKEVIEW MEMORIAL HOSPITAL ASSOCIATION INC.
Location Address927 CHURCHILL ST WStillwater, MN 55082-6605
Mailing AddressPo Box 310Stillwater, MN 55082-1029 · (651) 430-4529 · Fax (651) 430-4528
Phone(651) 430-4529
Fax(651) 430-4528
Organization SubpartYesParent: Lakeview Memorial Hospital
Authorized OfficialBrandi LunneborgPresident · (651) 430-5207
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 3, 20262 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
✔ NPI 1821114729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in MN · 365380
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
927 CHURCHILL ST W, Stillwater, MN 55082
Open in Google Maps ↗

Other Names 1

Other NameLakeview Hospital Physicians

Other Identifiers 8

Other300064MN · Ucare
Other56697TEMN · Blue Cross Mn
Other110674MN · Healthpartners
Medicaid32889100WI
Medicaid834547300MN
Other65247MN · Preferred One
OtherC63317MN · Medicare Railroad
Other3946489MN · Medica Choice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lakeview Memorial Hospital Association Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

94

Medicare enrollment records show 94 clinicians reassign Medicare billing to Lakeview Memorial Hospital Association Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Emergency Medicine77
Family Practice5
Mental Health Counselor3
Clinical Social Worker2
Internal Medicine2
Critical Care (Intensivists)1
Nurse Practitioner1
Sports Medicine1
2 other specialties2

Nearest to this location (20)

See all 94
Bradley Barth, MD
Emergency Medicine
NPI 1912946138
927 CHURCHILL ST W
Stillwater, MN 55082
(651) 439-5330
✔ PECOS✔ Accepts MedicareSame address
Jacob Binder, MD
Emergency Medicine
NPI 1154813079
927 CHURCHILL ST W
Stillwater, MN 55082
(651) 439-5330
✔ PECOSSame address
Jennifer Boklewski, M.D.
Emergency Medicine
NPI 1598084956
927 CHURCHILL ST W
Stillwater, MN 55082
(651) 439-5330
✔ PECOS✔ Accepts MedicareSame address
Broc Schindler, MD
Emergency Medicine
NPI 1255825535
927 CHURCHILL ST W
Stillwater, MN 55082
(651) 439-5330
✔ PECOSSame address
Shannon Tomfohrde, M.D.
Emergency Medicine
NPI 1871942771
927 CHURCHILL ST W
Stillwater, MN 55082
(651) 430-4529
✔ PECOSSame address
Casey Woster, M.D.
Emergency Medicine
NPI 1285862045
927 CHURCHILL ST W
Stillwater, MN 55082
(651) 439-5330
✔ PECOS✔ Accepts MedicareSame address
Thomas Stormont, M.D.
Urology
NPI 1184611063
921 GREELEY ST S
Stillwater, MN 55082
(651) 439-1234
✔ PECOS✔ Accepts Medicare0.1 mi
Joel Jensen, MD
Family Practice
NPI 1861477226
1500 CURVE CREST BLVD W
Stillwater, MN 55082
(651) 439-1234
✔ PECOS0.6 mi
Raymond Watts, MD
Emergency Medicine
NPI 1972533263
1500 CURVE CREST BLVD W
Stillwater, MN 55082
(651) 439-1234
✔ PECOS✔ Accepts Medicare0.6 mi
Dieter Heinz, M.D.
Family Practice
NPI 1669451837
HEALTHPARTNERS CLINIC STILLWATER 1500 CURVE CREST BLVD W
Stillwater, MN 55082
(651) 439-1234
✔ PECOS✔ Accepts Medicare1.7 mi
Gracia Clark
Mental Health Counselor
NPI 1417602251
403 STAGELINE RD
Hudson, WI 54016
(715) 531-6700
✔ PECOS✔ Accepts Medicare7.7 mi
Jacob Johnson, D.O.
Family Practice
NPI 1689055154
405 STAGELINE RD
Hudson, WI 54016
(715) 531-6000
✔ PECOS✔ Accepts Medicare7.8 mi
Michelle Nadrchal, MD
Emergency Medicine
NPI 1588309850
405 STAGELINE RD
Hudson, WI 54016
(715) 531-6000
✔ PECOS✔ Accepts Medicare7.8 mi
Eric Dahl, MD
Emergency Medicine
NPI 1497983266
405 STAGELINE RD
Hudson, WI 54016
(715) 531-6000
✔ PECOS7.8 mi
Kari Haley, M.D.
Emergency Medicine
NPI 1316213598
405 STAGELINE RD
Hudson, WI 54016
(715) 531-6000
✔ PECOS✔ Accepts Medicare7.8 mi
Brian Peterson, D.O.
Emergency Medicine
NPI 1174762397
405 STAGELINE RD
Hudson, WI 54016
(715) 531-6000
✔ PECOS✔ Accepts Medicare7.8 mi
Haley Taormina
Emergency Medicine
NPI 1346803384
405 STAGELINE RD
Hudson, WI 54016
(715) 531-6000
✔ PECOS✔ Accepts Medicare7.8 mi
Joseph Noack, MD
Sports Medicine
NPI 1871025270
155 RADIO DR
Woodbury, MN 55125
(952) 831-8742
✔ PECOS✔ Accepts Medicare8.8 mi
Mindy Dombrovski, LICSW
Clinical Social Worker
NPI 1093033805
8675 VALLEY CREEK RD
Woodbury, MN 55125
(651) 241-3000
✔ PECOS✔ Accepts Medicare10 mi
Nabil Salama, DO
Emergency Medicine
NPI 1629055488
535 HOSPITAL RD
New Richmond, WI 54017
(715) 243-2600
✔ PECOS14 mi
See all 94 clinicians

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

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 Lakeview Memorial Hospital Association Inc.'s NPI number?

The NPI number for Lakeview Memorial Hospital Association Inc. is 1821114729. It was assigned to this organization in the NPPES registry on March 22, 2007. The provider is also known as Lakeview Hospital Physicians.

Where is Lakeview Memorial Hospital Association Inc. located?

Lakeview Memorial Hospital Association Inc. is located at 927 Churchill St W, Stillwater, MN 55082. The listed phone number is (651) 430-4529.

What is Lakeview Memorial Hospital Association Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Lakeview Memorial Hospital Association Inc. enrolled in Medicare?

Yes. Lakeview Memorial Hospital Association Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lakeview Memorial Hospital Association Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 94 clinicians in 10 Medicare specialties reassign their Medicare billing to Lakeview Memorial Hospital Association Inc.. A 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 the clinician's services. The largest specialties are Emergency Medicine (77), Family Practice (5) and Mental Health Counselor (3). Of these, 6 practice at this address and 18 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lakeview Memorial Hospital Association Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Lakeview Memorial Hospital Association Inc. 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 Lakeview Memorial Hospital Association Inc. was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.