MARISSA KAY JEWEL LUNDEEN (APRN) – Family Nurse Practitioner, NPI 1356113625

MARISSA KAY JEWEL LUNDEEN (APRN) is a healthcare provider. based in South sioux city, Nebraska. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 115044 (NE). The NPI Number for MARISSA KAY JEWEL LUNDEEN (APRN) is 1356113625

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA KAY JEWEL LUNDEEN (APRN)
NPI
1356113625
Phone
Not provided
Address
550 KEMON DR
Enumeration Date
30 October 2023
Last Update Date
17 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122662760
Graduation Year
2024 (2 years ago)
PAC ID
1951744234
Group Practice PAC ID
8729992318
Professional Enrollment ID
I20250103001762
Address ID
IA511064250SI5885XDRXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:2State licenses:2Digital endpointsOther names

2,114 NURSE PRACTITIONER in NE

Provider Addresses for MARISSA KAY JEWEL LUNDEEN (APRN)

  • 550 KEMON DR

    SOUTH SIOUX CITY, NE 687764540

    Phone:

    Type: Mailing

  • 931 SENIOR CIRCLE

    MACY, NE 680393023

    Phone: (402) 837-5381

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-02-21 • Largest payer in this snapshot: Organon LLC ($38).

Total Amount

$38

General + Research + Ownership

Payments

1

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Organon LLC$38
View all Open Payments →|Open Payments Risk Radar →

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: 2025-01-03

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
I20240425000572INurse PractitionerTXTBD
I20250103001762INurse PractitionerIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68776)

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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: 8729992318View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MARISSA KAY JEWEL LUNDEEN (APRN)?
Save NPI 1356113625 if you need a stable reference for MARISSA KAY JEWEL LUNDEEN (APRN).
Does this profile mean MARISSA KAY JEWEL LUNDEEN (APRN) is currently active?
Yes — MARISSA KAY JEWEL LUNDEEN (APRN) appears active in the national provider directory.
What field does MARISSA KAY JEWEL LUNDEEN (APRN) work in?
You can think of MARISSA KAY JEWEL LUNDEEN (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MARISSA KAY JEWEL LUNDEEN (APRN)'s primary listing?
We display South Sioux City, Nebraska because that is what the record indicates for MARISSA KAY JEWEL LUNDEEN (APRN).
How can I contact MARISSA KAY JEWEL LUNDEEN (APRN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.