SHAUN GUNDERSEN (DNP, APRN, FNP-C) – Family Nurse Practitioner, NPI 1659721934
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for SHAUN GUNDERSEN (DNP, APRN, FNP-C)
163 S SR 112 HWY STE 106
GRANTSVILLE, UT 840295520
Phone: (435) 264-4164
Fax: (435) 264-4264
Type: Mailing
PO BOX 198560
ATLANTA, GA 303848560
Phone: (801) 266-2777
Fax: (801) 266-1377
Type: Mailing
348 E 4500 S STE 300
SALT LAKE CITY, UT 841078535
Phone: (801) 266-2777
Fax: (801) 266-1377
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 88 Open Payments records for all available years, with a total value of $1,717.
Total Amount is formed as General ($1,717) + Research ($0) + Ownership ($0) = $1,717.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($637).
Total Amount
$1,717
General + Research + Ownership
Payments
88
Total payment records
General Amount
$1,717
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. | $637 |
| AstraZeneca Pharmaceuticals LP | $158 |
| Supernus Pharmaceuticals, Inc. | $132 |
| Astellas Pharma US Inc | $80 |
| Mylan Specialty L.P. | $74 |
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: 2017-03-08
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 |
|---|---|---|---|---|
| I20170308001104 | I | Nurse Practitioner | UT | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 37 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 59 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 21 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
| 83036 | Hemoglobin a1c level | 20 | 11 | $0 |
Insurance plans in this area (ZIP 84029)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | UT | |
| Nurse Practitioner | UT | |
| Nurse Practitioner | UT |
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