BECCA EBBA LUNDBERG (CRNA) – Certified Registered Nurse Anesthetist, NPI 1407885023

BECCA EBBA LUNDBERG (CRNA) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 042161 (MN). The NPI Number for BECCA EBBA LUNDBERG (CRNA) is 1407885023

Main info

Female
35 Years Of Experience
Name
BECCA EBBA LUNDBERG (CRNA)
NPI
1407885023
Phone
(612) 873-6005
Address
701 PARK AVE
Enumeration Date
3 July 2006
Last Update Date
22 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128733000
Graduation Year
1991 (35 years ago)
PAC ID
7719934843
Group Practice PAC ID
4789684861
Professional Enrollment ID
I20050331001136
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

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Provider Addresses for BECCA EBBA LUNDBERG (CRNA)

  • Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States

    MINNEAPOLIS, MN 554151623

    Phone: (612) 873-6005

    Fax: (612) 630-8242

    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: 2014-02-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20050331001136ICertified Registered Nurse Anesthetist (Crna)MNTBD
I20140217001117ICertified Registered Nurse Anesthetist (Crna)GATBD

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
00142Anesthesia for lens surgery9995$0
00140Anesthesia for other procedure on eye2726$0
00103Anesthesia for procedure on eyelid1111$0
View full utilization report →

Insurance plans in this area (ZIP 55415)

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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: 4789684861View full group profile

Reviews

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Frequently asked questions

Can I verify BECCA EBBA LUNDBERG (CRNA) with an NPI only?
You can start verification with NPI 1407885023 for BECCA EBBA LUNDBERG (CRNA), then check state licensing separately.
Is BECCA EBBA LUNDBERG (CRNA) still practicing?
BECCA EBBA LUNDBERG (CRNA) is currently listed as active in the public NPI registry.
What taxonomy line describes BECCA EBBA LUNDBERG (CRNA)?
For research purposes, treat BECCA EBBA LUNDBERG (CRNA) as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does BECCA EBBA LUNDBERG (CRNA) serve?
BECCA EBBA LUNDBERG (CRNA)'s listing highlights Minneapolis, Minnesota; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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