MS. WANDA L LUNDEN (OTR) – Occupational Therapist, NPI 1619084902

MS. WANDA L LUNDEN (OTR) is a healthcare provider. based in Melbourne, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. OT6630 (FL). The NPI Number for MS. WANDA L LUNDEN (OTR) is 1619084902

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
MS. WANDA L LUNDEN (OTR)
NPI
1619084902
Phone
(321) 557-2562
Address
1490 WHITMAN DR
Enumeration Date
24 August 2006
Last Update Date
29 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7867709480
Graduation Year
1992 (34 years ago)
PAC ID
9931012499
Group Practice PAC ID
4789994336
Professional Enrollment ID
I20031111000065
Address ID
FL349862507PO279XXBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for MS. WANDA L LUNDEN (OTR)

  • 1490, Whitman Drive, Stratford Pointe, Westbrooke, West Melbourne, Brevard County, Florida, 32904, United States

    MELBOURNE, FL 329048749

    Phone: (321) 557-2562

    Fax: (321) 327-2102

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031111000065IOccupational Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789994336View full group profile
NameSpecialtyState
Qualified Speech Language PathologistFL
Occupational Therapist In Private PracticeNY
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Qualified Speech Language PathologistPR
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Occupational Therapist In Private PracticeFL

Reviews

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Frequently asked questions

Can I use this page to confirm MS. WANDA L LUNDEN (OTR)'s NPI?
Yes. MS. WANDA L LUNDEN (OTR) is listed with NPI 1619084902 in the public NPI dataset.
Can I rely on MS. WANDA L LUNDEN (OTR) being an active provider?
As of the registry snapshot, MS. WANDA L LUNDEN (OTR) is marked active.
What is MS. WANDA L LUNDEN (OTR)'s primary classification?
Occupational Therapist is the headline specialty for MS. WANDA L LUNDEN (OTR) here. Clinical services aligned with this taxonomy classification.
Does MS. WANDA L LUNDEN (OTR) list a practice location?
Patients near Melbourne, Florida may find MS. WANDA L LUNDEN (OTR) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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