SARA CORNWELL LUNDBERG (FNP-C) – Nurse Practitioner, NPI 1144856063

SARA CORNWELL LUNDBERG (FNP-C) is a healthcare provider. based in Portsmouth, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APRN02422 (RI). The NPI Number for SARA CORNWELL LUNDBERG (FNP-C) is 1144856063

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
SARA CORNWELL LUNDBERG (FNP-C)
NPI
1144856063
Phone
(401) 787-8791
Address
29 DIGHTON AVE
Enumeration Date
23 March 2020
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4016834817
Graduation Year
2020 (6 years ago)
PAC ID
1850703661
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20201221001683
Address ID
RI028714025PO2444XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,476 NURSE PRACTITIONER in RI

Provider Addresses for SARA CORNWELL LUNDBERG (FNP-C)

  • 29 DIGHTON AVE

    PORTSMOUTH, RI 028715512

    Phone: (401) 787-8791

    Type: Mailing

  • 43 Smith Rd

    Newport, RI 028411006

    Phone: (401) 841-3946

    Type: Location

  • 43 SMITH RD

    NEWPORT, RI 028411006

    Phone: (401) 841-3946

    Type: Location

  • 1800 MAIN RD

    TIVERTON, RI 028784625

    Phone: (401) 625-5552

    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.

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: 2020-12-21

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
I20201221001683INurse PractitionerRITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3433$0
99214Established patient office or other outpatient visit, 30-39 minutes2222$0
36415Insertion of needle into vein for collection of blood sample2119$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1818$0
View full utilization report →

Insurance plans in this area (ZIP 02871)

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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: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for SARA CORNWELL LUNDBERG (FNP-C)?
SARA CORNWELL LUNDBERG (FNP-C) — NPI 1144856063 — is the standard way to identify this listing.
Can I rely on SARA CORNWELL LUNDBERG (FNP-C) being an active provider?
As of the registry snapshot, SARA CORNWELL LUNDBERG (FNP-C) is marked active.
What is SARA CORNWELL LUNDBERG (FNP-C)'s specialty?
The listing groups SARA CORNWELL LUNDBERG (FNP-C) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for SARA CORNWELL LUNDBERG (FNP-C)?
SARA CORNWELL LUNDBERG (FNP-C)'s geographic hint is Portsmouth, Rhode Island in our summary view.
Is the information about SARA CORNWELL LUNDBERG (FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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