Kristi Rose Lundgren, AGNP-C
NPI 1922819853ActiveIndividual· Nurse Practitioner· Saint Marys, GA
Nurse Practitioner (AGNP-C) with Cooperative Healthcare Services Inc, practicing in Saint Marys, Georgia. Enrolled in Medicare as practitioner - nurse practitioner. Lists Southeast Georgia Health System -- Camden Campus as a hospital affiliation.
Overview
| NPI | 1922819853 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGNP-C |
| Sole proprietor | No |
| NPI issued | Jan 20, 2025 |
| Last updated in NPPES | Apr 14, 2026 |
| Certified by provider | Apr 14, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | APRN-NP711834 | GA |
| Nurse Practitioner | 363L00000X | 4704272346 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Cooperative Healthcare Services IncBrunswick, GA · 239 clinicians
Hospital affiliation
- Southeast Georgia Health System -- Camden CampusSaint Marys, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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