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Deactivated NPI 1245486083 Deactivated / Inactive NPI Female Practitioner

Lynn Lundgren , RN

Case Manager/Care Coordinator • Modesto, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lynn Lundgren has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2008
NPI Deactivation Date October 21, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Lynn Lundgren, RN was a registered Case Manager/Care Coordinator practicing in Modesto, CA. Throughout an active medical career spanning 13 years, Lynn Lundgren provided care at the practice location at 830 SCENIC DR BLDG 3 until profile deactivation on 2021-10-21.

Practice Location & Contact Primary Location

Practice Address

830 Scenic Dr Bldg 3

Modesto, CA 953506131

Telephone 2096521754
Fax 2095588315

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
291 Specialists

Practicing in Modesto, CA (23452 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Ginger Merrill , RN

Registered Nurse - Case Management

NPI 1043530983

Registered Nurse

Lynda Perino , RN PHN

Registered Nurse

NPI 1104008853

RNPHN

Julie Early , RN

Case Manager/Care Coordinator

NPI 1104009760

Registered Nurse

Kimberly Job , RN

Case Manager/Care Coordinator

NPI 1154570349

Registered Nurse

Renee Crawford , MSW

Case Manager/Care Coordinator

NPI 1295918852

Master of Social Work

Leslie Crisostomo , RN

Registered Nurse - Case Management

NPI 1316298920

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 21, 2021

Record deactivated on October 21, 2021

NPI Profile Active August 12, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2008

Registered at 830 SCENIC DR BLDG 3, MODESTO, CA 953506131 (Tel: 2096521754)

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Updated Business Mailing Address August 12, 2008

Registered at 830 SCENIC DR BLDG 3, MODESTO, CA 953506131 (Tel: 2096521754)

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Provider Name / Credentials Updated August 12, 2008

Recorded as LYNN LUNDGREN, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2008

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration August 12, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245486083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2008
Last Update: August 12, 2008
Deactivation Date: October 21, 2021

Mailing Address

830 Scenic Dr Bldg 3

Modesto, CA 953506131

Phone: 2096521754

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.