MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC) – Adult Health Nurse Practitioner, NPI 1649564642

MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC) is a healthcare provider. based in Titusville, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP, FNP-BC. They hold a License No. ARNP9262739 (FL). The NPI Number for MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC) is 1649564642

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC)
NPI
1649564642
Phone
(321) 269-6530
Address
3300 DAIRY RD
Enumeration Date
7 June 2011
Last Update Date
31 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218416600
Graduation Year
2010 (16 years ago)
PAC ID
8123294782
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20120103000239
Address ID
FL328062134OR1400XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC)

  • 3300 DAIRY RD

    TITUSVILLE, FL 327962100

    Phone: (321) 269-6530

    Type: Mailing

  • 1400 S ORANGE AVE

    ORLANDO, FL 328062134

    Phone: (407) 648-3800

    Fax: (407) 425-5203

    Type: Mailing

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: 2012-01-03

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
I20120103000239INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes382111$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes34599$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes9082$0
99315Nursing facility discharge day management, 30 minutes or less8985$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes7038$0
View full utilization report →

Insurance plans in this area (ZIP 32796)

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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: 9537059084View full group profile
NameSpecialtyState
Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YNY
Nurse PractitionerFL
Internal MedicineFL
Vascular Surgery, General SurgeryFL
Physical Therapist In Private PracticeFL
Sports MedicineOH
Nurse PractitionerFL
Internal MedicineFL
Internal MedicineIA

Reviews

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Frequently asked questions

What unique ID ties claims to MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC)?
NPI 1649564642 is assigned to MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC) under the national enumeration system.
Is MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC) treat or focus on?
Patients typically see MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC) under the specialty Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC)'s primary listing?
We display Titusville, Florida because that is what the record indicates for MS. KIMBERLY EVANGELISTA LUNDQUIST (ARNP, FNP-BC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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