JAKE PAUL LUNDQUIST (FNP-C) – Family Nurse Practitioner, NPI 1396348280
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for JAKE PAUL LUNDQUIST (FNP-C)
6050 Appalachian Hwy
Blue Ridge, GA 305134283
Phone: (706) 632-0027
Type: Location
PO BOX 244
MC CAYSVILLE, GA 305550244
Phone: (716) 969-5687
Type: Mailing
63 PLEASANT HILL RD
BLAIRSVILLE, GA 305122291
Phone: (706) 745-2229
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $1,032.
Total Amount is formed as General ($1,032) + Research ($0) + Ownership ($0) = $1,032.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($257).
Total Amount
$1,032
General + Research + Ownership
Payments
60
Total payment records
General Amount
$1,032
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $257 |
| Lilly USA, LLC | $199 |
| Amgen Inc. | $122 |
| AstraZeneca Pharmaceuticals LP | $85 |
| Mylan Specialty L.P. | $42 |
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: 2021-03-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210325000688 | I | Nurse Practitioner | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 139 | 92 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 80 | 12 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 47 | 38 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 45 | 12 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 43 | 24 | $0 |
Insurance plans in this area (ZIP 30513)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | FL | |
| Emergency Medicine | SC | |
| Physician Assistant | NC | |
| - | GA | |
| - | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Family Practice, Emergency Medicine | GA |
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