JOHN D LUNDEBERG (CRNA) – Certified Registered Nurse Anesthetist, NPI 1386638906

Certified Registered Nurse Anesthetist

JOHN D LUNDEBERG (CRNA) is a healthcare provider. based in Carbondale, Illinois. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 041181507 (IL). The NPI Number for JOHN D LUNDEBERG (CRNA) is 1386638906

Main info

Male

48 Years Of Experience

Accepts Medicare Assignment

Name

JOHN D LUNDEBERG (CRNA)

NPI

1386638906

Phone

(618) 457-5200

Address

1239 E MAIN ST

Enumeration Date

9 September 2005

Last Update Date

13 April 2020

Doctor Profile

Medical School Name

MAYO MEDICAL SCHOOL

Secondary Phone

6189422171

Graduation Year

1978 (48 years ago)

PAC ID

0446222574

Group Practice PAC ID

3678677390

Professional Enrollment ID

I20040810000548

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience68

Completeness75

Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for JOHN D LUNDEBERG (CRNA)

1239, East Main Street, Carbondale, Jackson County, Illinois, 62901, United States
CARBONDALE, IL 629013175
Phone: (618) 457-5200
Fax: (618) 529-0586
Type: Mailing
Saint Joseph Memorial Hospital, 2, South Hospital Drive, Murphysboro, Jackson County, Illinois, 62966, United States
MURPHYSBORO, IL 629663333
Phone: (618) 684-3156
Fax: (618) 529-0529
Type: Location
405 W Jackson St
Carbondale, IL 629011462
Phone: (618) 549-0721
Fax: (618) 529-0449
Type: Location
201 S 14th St
Herrin, IL 629483631
Phone: (618) 942-2171
Fax: (618) 351-4919
Type: Location

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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 62901)

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Provider's Procedures

JOHN D LUNDEBERG (CRNA) performs procedures in Certified Registered Nurse Anesthetist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHET	IL	00142	Anesthesia for lens surgery	14	12

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: 3678677390View full group profile

Name	Specialty	State
DR. MUHAMMAD JAWAD POPALZAI	H E M A T O L O G Y/ O N C O L O G Y	IL
CESAR E COELLO (M.D.)	Cardiovascular Disease (Cardiology)	IL
JESSIE NICOLE FOX	-	IL
ETHAN MARK HUCKABEE (DO)	Emergency Medicine	IL
KIMBERLY ANN KESER (CS-FNP)	Nurse Practitioner	MO
JANNICE EDMONSON (NP)	Nurse Practitioner	IL
DR. JAMES NELSON MOCK (MD)	Emergency Medicine	IL
MRS. JAMIE HULTGREN (FNP-BC)	-	IL
DR. SAJJAD MUEED (M.D.)	N E U R O L O G Y	IL
SRINIVAS RAJAMAHANTY (M.D.)	U R O L O G Y	IL