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DAKOTA JAMES LUNDSTROM MD
NPI 1871179812
Family Medicine in Hermantown, MN

Active since March 21, 2021PECOS EnrolledAccepts Medicare Assignment
4190 LOBERG AVE, HERMANTOWN, MN 55811(218) 249-4600 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Mar 22, 2021, Mar 21, 2021 (3 updates tracked since 2021).

About Dakota James Lundstrom Md NPPES

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

DAKOTA JAMES LUNDSTROM MD (NPI 1871179812) is an individual family medicine provider in Hermantown, Minnesota, licensed in Minnesota (80616) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Minnesota, Duluth School Of Medicine (2021).

NPPES Registry Identity

NPI1871179812
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAKOTA JAMES LUNDSTROMCredential: MD
Location Address4190 LOBERG AVEHermantown, MN 55811-2652
Mailing Address4190 Loberg AveHermantown, MN 55811-2652 · (218) 249-4600
Phone(218) 249-4600
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota, Duluth School Of MedicineGraduated 2021
Enumeration DateMarch 21, 2021
Last NPPES UpdateSeptember 16, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1871179812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 80616
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4190 LOBERG AVE, Hermantown, MN 55811
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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

Dakota James Lundstrom 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.

PECOS PAC ID7719380641
PECOS Enrollment IDI20251001002819
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.

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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 17

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

LAUREN WALLACE MD
Family Medicine
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-4600
NICOLE COLLISON DPT
Physical Therapist
4190 LOBERG AVE
HERMANTOWN, MN 55811
St. Louis County (218) 249-6040
DR. ELIZABETH A LILJEBLAD MD
Family Medicine
4190 LOBERG AVE
HERMANTOWN, MN 55811
St. Louis County (218) 249-4600
DR. GERARD DAVID SPOELHOF M.D.
Family Medicine
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-5700
BENJAMIN H JOHNSON MD
Family Medicine
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-5700
DANIEL BRUCE CAMPBELL
Emergency Medicine
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-5700
CHARLES EARL AHRENS M.D.
Ophthalmology
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-4600
MATTHEW GRANT PENNING M.D.
Family Medicine
4190 LOBERG AVE
DULUTH, MN 55811
St. Louis County (218) 249-5700

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 Dakota Lundstrom's NPI number?

The NPI number for Dakota Lundstrom is 1871179812. It was assigned to this individual provider in the NPPES registry on March 21, 2021.

Where is Dakota Lundstrom located?

Dakota Lundstrom practices at 4190 Loberg Ave, Hermantown, MN 55811. The listed phone number is (218) 249-4600.

What is Dakota Lundstrom's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dakota Lundstrom enrolled in Medicare?

Yes. Dakota Lundstrom 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.

Is Dakota Lundstrom affiliated with any hospitals?

According to CMS data, Dakota Lundstrom is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Dakota Lundstrom was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.