Shaun Gundersen, DNP, APRN, FNP-C - Medicare Nurse Practitioner in Grantsville, UT

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Shaun Gundersen, DNP, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Grantsville, Utah. He went to University Of Utah School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Shaun Gundersen Fnp Pllc and his current practice location is 163 S Sr 112 Hwy Ste 106, Grantsville, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 264-4164.

Shaun Gundersen is licensed to practice in Utah (license number 8635933-4405) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659721934.

Contact Information

Shaun Gundersen, DNP, APRN, FNP-C
163 S Sr 112 Hwy Ste 106,
Grantsville, UT 84029-5520
(435) 264-4164
(435) 264-4264

Map and Direction




Provider's Profile

Full NameShaun Gundersen
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location163 S Sr 112 Hwy Ste 106, Grantsville, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shaun Gundersen attended and graduated from University Of Utah School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1659721934
  • Provider Enumeration Date: 06/16/2016
  • Last Update Date: 04/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3173807385
  • Enrollment ID: I20170308001104

Medical Identifiers

Medical identifiers for Shaun Gundersen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659721934NPI-NPPES
1073795258MedicaidUT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 8635933-4405 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mountain West Medical CenterTooele, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shaun Gundersen Fnp Pllc65072517823

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shaun Gundersen allows following entities to bill medicare on his behalf.
Entity NamePatrick Green Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518256650
PECOS PAC ID: 6204000102
Enrollment ID: O20111110000358
Entity NameShaun Gundersen Fnp Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457002503
PECOS PAC ID: 6507251782
Enrollment ID: O20221206001435

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaun Gundersen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shaun Gundersen, DNP, APRN, FNP-C
163 S Sr 112 Hwy Ste 106,
Grantsville, UT 84029-5520

Ph: (435) 264-4164		Shaun Gundersen, DNP, APRN, FNP-C
163 S Sr 112 Hwy Ste 106,
Grantsville, UT 84029-5520

Ph: (435) 264-4164

Reviews and Comments


Nurse Practitioner Nurses in Grantsville, UT

Ms. Katherine E Devries, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 225 W Apple St, Grantsville, UT 84029
Phone: 435-843-9964    Fax: 435-843-9964
Pamela Sue Smith,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 564 S Saddle Rd, Grantsville, UT 84029
Phone: 435-224-3124    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.