MR. PETER JOHN LINDBLOOM (PA C) – Medical Physician Assistant, NPI 1912970708

MR. PETER JOHN LINDBLOOM (PA C) is a healthcare provider. based in Onamia, Minnesota. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. 9314 (MN). The NPI Number for MR. PETER JOHN LINDBLOOM (PA C) is 1912970708

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. PETER JOHN LINDBLOOM (PA C)
NPI
1912970708
Phone
(320) 532-3154
Address
200 ELM ST N
Enumeration Date
10 February 2006
Last Update Date
15 May 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206345157
Graduation Year
1997 (29 years ago)
PAC ID
8820124811
Group Practice PAC ID
5294789194
Professional Enrollment ID
I20100329001130
Address ID
MN563341518GL417XXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,032 PHYSICIAN ASSISTANT in MN

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Provider Addresses for MR. PETER JOHN LINDBLOOM (PA C)

  • Mille Lacs Health System Hospital, 200, Elm Street, Onamia, Mille Lacs County, Minnesota, 56359, United States

    ONAMIA, MN 563597901

    Phone: (320) 532-3154

    Fax: (320) 532-3111

    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: 2010-03-29

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
I20100329001130IPhysician AssistantMNTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2516$0
76604Ultrasound scan of chest1513$0
76705Limited ultrasound scan of abdomen1312$0
View full utilization report →

Insurance plans in this area (ZIP 56359)

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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: 5294789194View full group profile
NameSpecialtyState
Nurse PractitionerMN
O P T O M E T R YMN
General Practice, Emergency MedicineMN
Family PracticeMN
Ophthalmology, General PracticeMN
Certified Nurse Midwife (Cnm)SD
Physician AssistantMN
Nurse PractitionerMN
O B S T E T R I C S/ G Y N E C O L O G YMN
Diagnostic RadiologyND

Reviews

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Frequently asked questions

Can I use this page to confirm MR. PETER JOHN LINDBLOOM (PA C)'s NPI?
Yes. MR. PETER JOHN LINDBLOOM (PA C) is listed with NPI 1912970708 in the public NPI dataset.
Can I rely on MR. PETER JOHN LINDBLOOM (PA C) being an active provider?
As of the registry snapshot, MR. PETER JOHN LINDBLOOM (PA C) is marked active.
What is MR. PETER JOHN LINDBLOOM (PA C)'s primary classification?
Medical Physician Assistant is the headline specialty for MR. PETER JOHN LINDBLOOM (PA C) here. Clinical services aligned with this taxonomy classification.
Where should I expect MR. PETER JOHN LINDBLOOM (PA C) on a map?
Expect Onamia, Minnesota as a primary anchor for MR. PETER JOHN LINDBLOOM (PA C) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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