PHYLLIS GUNDERSEN (APRN) – Family Nurse Practitioner, NPI 1295785608
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
Provider Addresses for PHYLLIS GUNDERSEN (APRN)
Hastings Heart Institute, 715, North Kansas Avenue, Countryside Parks, Hastings, Adams County, Nebraska, 68901, United States
HASTINGS, NE 689014438
Phone: (402) 461-5265
Type: Mailing
926 E E ST STE 100
HASTINGS, NE 689016639
Phone: (402) 303-8802
Fax: (402) 468-0599
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $367.
Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($160).
Total Amount
$367
General + Research + Ownership
Payments
14
Total payment records
General Amount
$367
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $160 |
| Xeris Pharmaceuticals, Inc. | $52 |
| Janssen Scientific Affairs, LLC | $39 |
| AstraZeneca Pharmaceuticals LP | $31 |
| Lilly USA, LLC | $21 |
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: 2005-12-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051207000157 | I | Nurse Practitioner | NE | TBD |
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.
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 68901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE | |
| Nurse Practitioner | NE |
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