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KRISTI ROSE LUNDGREN AGNP-C
NPI 1922819853
Nurse Practitioner in Saint Marys, GA

Active since January 20, 2025PECOS EnrolledAccepts Medicare Assignment
2040 DAN PROCTOR DR STE 210, SAINT MARYS, GA 31558(912) 576-6434(912) 576-6487 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristi Rose Lundgren Agnp-c NPPES

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

KRISTI ROSE LUNDGREN AGNP-C (NPI 1922819853) is an individual nurse practitioner in Saint Marys, Georgia, licensed in Georgia (APRN-NP711834) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System -- Camden Campus, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1922819853
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTI ROSE LUNDGRENCredential: AGNP-C
Location Address2040 DAN PROCTOR DR STE 210Saint Marys, GA 31558-3801
Mailing Address2040 Dan Proctor Dr Ste 210Saint Marys, GA 31558-3801 · (912) 576-6434 · Fax (912) 576-6489
Phone(912) 576-6434
Fax(912) 576-6487
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 20, 2025
Last NPPES UpdateApril 14, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1922819853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in GA · APRN-NP711834✔ Licensed in MI · 4704272346
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2040 DAN PROCTOR DR STE 210, Saint Marys, GA 31558
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Kristi Rose Lundgren Agnp-c 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 ID3678041621
PECOS Enrollment IDI20260507002034
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.

Medicare Billing Reassignment

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

Cooperative Healthcare Services Inc
28 mi
Clinic/Center
2415 PARKWOOD DR
Brunswick, GA 31520
  • Reassigned Medicare billing, Georgia enrollment
  • 339 clinicians in this Medicare group
NPI 1417979402 (912) 466-7000

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

Hospital Affiliations CMS Care Compare

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

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110146
Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31558 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Kristi Lundgren's NPI number?

The NPI number for Kristi Lundgren is 1922819853. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is Kristi Lundgren located?

Kristi Lundgren practices at 2040 Dan Proctor Dr Ste 210, Saint Marys, GA 31558. The listed phone number is (912) 576-6434.

What is Kristi Lundgren's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristi Lundgren enrolled in Medicare?

Yes. Kristi 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 Kristi Lundgren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristi Lundgren reassigns Medicare benefits to Cooperative Healthcare Services Inc (Brunswick, GA). 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 Kristi Lundgren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristi Lundgren accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kristi 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.

Is Kristi Lundgren affiliated with any hospitals?

According to CMS data, Kristi Lundgren is affiliated with Southeast Georgia Health System -- Camden Campus.

When was this NPI record last updated?

The NPPES record for Kristi Lundgren was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.