ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER) – Primary Care Nurse Practitioner, NPI 1649903071

ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER) is a healthcare provider. based in Rosenberg, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 1086341 (TX). The NPI Number for ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER) is 1649903071

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER)
NPI
1649903071
Phone
(979) 479-1148
Address
4311 BRIGHTRIDGE CT
Enumeration Date
4 July 2022
Last Update Date
4 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9795321244
Graduation Year
2021 (5 years ago)
PAC ID
3072041904
Group Practice PAC ID
6800220682
Professional Enrollment ID
I20250106003444
Address ID
TX774889218WH1405XDRXX300

Contacts

Secure Messaging
anthony@fbpremiercare.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER)

  • 4311 BRIGHTRIDGE CT

    ROSENBERG, TX 774716308

    Phone: (979) 479-1148

    Type: Mailing

  • 1505 LIBERTY ST

    RICHMOND, TX 774693218

    Phone: (281) 342-9500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $834.

Total Amount is formed as General ($834) + Research ($0) + Ownership ($0) = $834.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Lilly USA, LLC ($244).

Total Amount

$834

General + Research + Ownership

Payments

39

Total payment records

General Amount

$834

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

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: 2025-01-06

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
I20250106003444INurse PractitionerTXTBD

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 77471)

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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: 6800220682View full group profile
NameSpecialtyState
Nurse PractitionerNH
Nurse PractitionerOH
Physician AssistantCT
Certified Clinical Nurse Specialist (Cns)OK
Nurse PractitionerLA
Physician AssistantME
Physician AssistantME
Physician AssistantNV
Nurse PractitionerMO
Nurse PractitionerTX

Reviews

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Frequently asked questions

What number should I use to identify ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER) for billing?
Administrative and clinical systems typically use NPI 1649903071 for ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER).
Should I treat ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER) as an active provider?
Patients and plans typically see ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER) as active in the national extract.
What services align with ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER)'s listing?
ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER)'s public classification highlights Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER)?
ANTHONY DALE LUNDQUIST (NURSE PRACTITIONER) is associated with Rosenberg, Texas in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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